Thilak Chander, M.D
Individual provider Active NPI Internal Medicine Physician · Sault Sainte Marie, MI
NPI 1760698484 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760698484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301068603 (MI)
- Practice address
- 511 Ashmun St
Suite 102
Sault Sainte Marie, MI 49783-1960 - Phone
- (906) 635-9090
- Fax
- (906) 635-9091
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mymichigan Medical Center Sault
Practice addresses (Care Compare)
500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460
Hospital & facility affiliations
- Residential Home Health and Hospice
- McLaren Home Health
- Chippewa County War Memorial Hospital
- Mackinac Straits Hospital and Health Center
- Helen Newberry Joy Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910000241 | MI | Practitioner - Internal Medicine | 0547236598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068603 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Sault | Current |
Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current |
Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
Interoperability endpoints
- tchander142307@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301068603 | MI | Yes |
Addresses
Primary practice location
511 Ashmun St
Suite 102
Sault Sainte Marie, MI 49783-1960
Mailing address
2118 W 3Rd Ave
Sault Sainte Marie, MI 49783-1200
Phone (906) 635-9211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104643831 | Medicaid | MI |
Other providers in Sault Sainte Marie, MI
- Stephanie Lynn Catterfeld
- Crystal Lynn Caughy
- Lucas Samuel Cavalier
- Cedar Straits Medical Associates PC
- Terra Chancey
- Gregory Edgar Charter
- Edward Cheung
- Frank Joseph Chilelli
- Chippewa County Clerk
- Chippewa County Health Department
All providers in Sault Sainte Marie, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.