Active NPI
Bhavana R. Vyas, M.D.
- Pediatrics Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301072081
- Practice address
- Henry Ford Health System
One Ford Place 5E
Detroit, MI 48202 - Phone
- (313) 874-6660
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301072081 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
One Ford Place 5E
Detroit, MI 48202
Mailing address
Henry Ford Health System
One Ford Place 5E
Detroit, MI 48202
Phone (313) 874-6660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BV072081 | Other | CHAMPUS-CHAMPUS | |
| BV072081 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072081 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Autism Center LLC | Current | Accepting new patients | |
| Macomb Autism Center ,LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Pediatrics | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
43475 Dalcoma Dr
Ste 208
Clinton Twp, MI 48038
Phone (586) 263-1818
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Interoperability endpoints
- bvyas13304@direct.hfhs.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Behavior Analyst
- Clinton TWP, MI
- NPI 1639846017
-
- Behavior Analyst
- Clinton TWP, MI
- NPI 1386369692
-
- Pediatrics Physician
- Detroit, MI
- NPI 1003990318
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720135536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "ONE FORD PLACE 5E",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-874-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "ONE FORD PLACE 5E",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-874-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "BHAVANA",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301072081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "BV072081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "BV072081",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.