Organization Active NPI

Vibha

  • Internal Medicine Physician
  • Flushing, MI
National Provider Identifier
1760884449
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081972 Issued in MI
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5212865MedicaidMI

Other names 1

  • Vijay Naraparaju Sole MBR Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211000255 MI Part B Supplier - Clinic/Group Practice 2961724489 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1074736Vibha PLLC1375 Flushing Road, Flushing, MI 48433Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.