Active NPI
Vincent R Elie, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Chelsea, MI
National Provider Identifier
1740213115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- VE057786
- Practice address
- 211 E Middle St
Chelsea, MI 48118-1034 - Phone
- (734) 417-7054
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | VE057786 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | VE057786 | MI | Primary |
Addresses
Primary practice location
211 E Middle St
Chelsea, MI 48118-1034
Mailing address
211 E Middle St
Chelsea, MI 48118-1034
Phone (734) 417-7054
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108123621 | Other | MI | BCBSM |
| ON 26970 | Other | MI | MEDICARE IDENTIFICATION NUMBER |
| 4284888 | Medicaid | MI | |
| VE057786 | Other | MI | MEDICAL LICENSE |
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 |
|---|---|---|---|
| VE057786 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Doctors PC | Past | Accepting new patients | |
| Vpa PC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/GFICCD
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.
-
- General Practice Physician
- Jackson, MI
- NPI 1992974018
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1740213115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E MIDDLE ST",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481181034",
"telephone_number": "734-417-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E MIDDLE ST",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481181034",
"telephone_number": "734-417-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIE",
"first_name": "VINCENT",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "VE057786",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "VE057786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "108123621",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "ON 26970",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4284888",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "VE057786",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.