Individual provider Active NPI

Dennis Karl Chernin, M.D., M.P.H.

  • Public Health & General Preventive Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1720177561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
4301043276 Issued in MI
Practice address
2345 S Huron Pkwy
Ann Arbor, MI 48104-5124
Phone
(734) 973-3030
Fax
(734) 973-3057
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 4301043276 MI Primary

Addresses

Primary practice location

2345 S Huron Pkwy
Ann Arbor, MI 48104-5124

Mailing address

1700 Ives LN
Ann Arbor, MI 48104-4501
Phone (734) 662-2353

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001143 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Preventive Medicine 1355474230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
University of Michigan Medical School, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2345 S Huron Pkwy
Ann Arbor, MI 48104-5124
Phone (734) 973-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis K Chernin MD PC CurrentSince Jul 1, 2010 Accepting new patients
County of Lenawee Past Accepting new patients
Chrysalis Health of Illinois P.C. Past Accepting new patients

Locations

2345 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 973-3030

Interoperability endpoints

  • Direct secure messaging: dchernin704975@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 IVES LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044501",
            "telephone_number": "734-662-2353",
            "fax_number": "734-662-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045124",
            "telephone_number": "734-973-3030",
            "fax_number": "734-973-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIN",
        "first_name": "DENNIS",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301043276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.