Active NPI
Anuradha Vempati, M.D.
- Pediatrics Physician
- Chesterfield, MI
National Provider Identifier
1740275155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- AV071876
- Practice address
- 30795 23 Mile Rd
#202
Chesterfield, MI 48047 - Phone
- (586) 421-1740
- Fax
- (586) 421-1744
- NPI assigned
- Sep 13, 2005
- Last updated
- Jun 17, 2020
- 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 | AV071876 | MI | Primary |
Addresses
Primary practice location
30795 23 Mile Rd
#202
Chesterfield, MI 48047
Mailing address
30795 23 Mile Rd Ste 202
Chesterfield, MI 48047-5721
Phone (586) 421-1740
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4676860 | Medicaid | MI | |
| 350F314450 | Other | MI | BCBS OF MICHIGAN |
| 137758 | Other | MI | CARE CHOICES |
| 16838 | Other | MI | MCARE |
| H93875 | Other | MI | HAP |
| 147806 | Other | MI | GLHP |
| 7703494 | Other | MI | AETNA |
| P34014F | Other | MI | BCN |
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 |
|---|---|---|---|
| AV071876 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Care Clinic, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- avempati63494@direct.hfhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Chesterfield, MI
- NPI 1285719286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1740275155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30795 23 MILE RD STE 202",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475721",
"telephone_number": "586-421-1740",
"fax_number": "586-421-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "#202",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "48047",
"telephone_number": "586-421-1740",
"fax_number": "586-421-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMPATI",
"first_name": "ANURADHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "AV071876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4676860",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "350F314450",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "137758",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "16838",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "H93875",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "147806",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7703494",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P34014F",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.