Active NPI
Lavi Rohatgi, M.D.
- Family Medicine Physician
- Fort Gratiot, MI
National Provider Identifier
1700862935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301077468
- Practice address
- 4190 24TH Ave
Fort Gratiot, MI 48059-3882 - Phone
- (810) 989-7777
- Fax
- (810) 989-7782
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301077468 | MI | Primary |
Addresses
Primary practice location
4190 24TH Ave
Fort Gratiot, MI 48059-3882
Mailing address
PO Box 610669
Port Huron, MI 48061-0669
Phone (810) 985-1884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4730795 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077468 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Vermont PC | Past | Accepting new patients | |
| Port Huron Mercy Family Care Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1700862935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610669",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480610669",
"telephone_number": "810-985-1884",
"fax_number": "810-966-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 24TH AVE",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480593882",
"telephone_number": "810-989-7777",
"fax_number": "810-989-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHATGI",
"first_name": "LAVI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301077468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4730795",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.