Active NPI
Vibha
- Internal Medicine Physician
- Flushing, MI
National Provider Identifier
1760884449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301081972
- Legal business name
- VIBHA
- Practice address
- 1375 Flushing Rd
Flushing, MI 48433-2262 - Phone
- (810) 659-2233
- Fax
- (810) 659-2246
- NPI assigned
- Sep 24, 2014
- Last updated
- May 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Acheff
- Title
- Office Manager
- Phone
- (810) 659-2233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301081972 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301081972 | MI |
Addresses
Primary practice location
1375 Flushing Rd
Flushing, MI 48433-2262
Mailing address
1375 Flushing Rd
Flushing, MI 48433-2262
Phone (810) 659-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5212865 | Medicaid | MI |
Other names 1
- Vijay Naraparaju Sole MBR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1074736 | Vibha PLLC | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Flushing, MI
- NPI 1942400973
-
- Family Nurse Practitioner
- Flushing, MI
- NPI 1164402871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1760884449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 FLUSHING RD",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332262",
"telephone_number": "810-659-2233",
"fax_number": "810-659-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 FLUSHING RD",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332262",
"telephone_number": "810-659-2233",
"fax_number": "810-659-2246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBHA",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-24",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "ACHEFF",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "810-659-2233"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301081972",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301081972",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5212865",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vijay Naraparaju Sole MBR",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Vijay Naraparaju Sole MBR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flushing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.