Gaurav Vashishta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

GV081359 Issued in MI

Practice address

27211 Lahser Rd
Suite # 200
Southfield, MI 48034-8469

Phone

(248) 358-4892

Fax

(248) 358-5125

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment Care Compare group NPD
• Iha Health Service Corporation

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD
• Iha Health Services Corporation

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1477950541
  NPD
• Academic Internal Medicine Specialists PLLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1346398971
  NPD (past)
• Macomb Internists PC

  • Hospitalist Physician
  • Macomb, MI
  • NPI 1730130063

  Internal Medicine

  NPD (past)
• Pulsar Medical Group PC

  • Infectious Disease Physician
  • Marine City, MI
  • NPI 1295813129

  Internal Medicine

  NPD (past)
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1750332193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28411 NORTHWESTERN HWY",
            "address_2": "SUITE #1050",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345544",
            "telephone_number": "248-354-4709",
            "fax_number": "248-354-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27211 LAHSER RD",
            "address_2": "SUITE # 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348469",
            "telephone_number": "248-358-4892",
            "fax_number": "248-358-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASHISHTA",
        "first_name": "GAURAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "GV081359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F336360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1346398971",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "205485614",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301081359",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXOMOMY",
            "identifier": "207R00000X",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104934122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bini Rachel Varghese
• Colleen Marie Vargovich, DNP
• Alakh Varma, MD
• Jaron Varner
• Vascular & Rehab Associates LLC
• Leela Mohey Vasileff, MD
• Alysa Vasseur
• Mylah Vaughn-Shorter
• Jessica Vaughn
• Michelle Vaughn

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.