Active NPI
Salil Dua, MD
- Family Medicine Physician
- Lansing, MI
National Provider Identifier
1780658625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301072671
- Practice address
- 2121 E Grand River Ave
Lansing, MI 48912-3231 - Phone
- (248) 845-8507
- Fax
- (248) 243-8719
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301072671 | MI | Primary |
Addresses
Primary practice location
2121 E Grand River Ave
Lansing, MI 48912-3231
Mailing address
2121 E Grand River Ave
Lansing, MI 48912-3231
Phone (248) 845-8507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4421646 | Medicaid | MI | |
| 4354650 | Medicaid | MI |
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 |
|---|---|---|---|
| 4301072671 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Care Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- salil.dua@49428401684484.direct.elationemr.com
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Redford, MI
- NPI 1982830535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1780658625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E GRAND RIVER AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489123231",
"telephone_number": "248-845-8507",
"fax_number": "248-243-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E GRAND RIVER AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489123231",
"telephone_number": "248-845-8507",
"fax_number": "248-243-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUA",
"first_name": "SALIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301072671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4421646",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4354650",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.