Individual provider Active NPI

Joseph Chattahi, M.D.

  • Cardiovascular Disease Physician
  • Dearborn, MI
National Provider Identifier
1780893214
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301085477 Issued in MI
Practice address
2881 Monroe St
Suite 100
Dearborn, MI 48124-3475
Phone
(313) 562-3232
Fax
(313) 563-3330
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301085477 MI
Cardiovascular Disease Physician 207RC0000X 4301085477 MI Primary
Nuclear Cardiology Physician 207UN0901X 4301085477 MI

Addresses

Primary practice location

2881 Monroe St
Suite 100
Dearborn, MI 48124-3475

Mailing address

2881 Monroe St
Suite 100
Dearborn, MI 48124-3475
Phone (313) 562-3232

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081028000840 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173681590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venocure, PLLCGroup PAC ID 9234203068, 2 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

2881 Monroe
Suite 100
Dearborn, MI 48124-3475

2881 Monroe St
Dearborn, MI 48124-3475

2881 Monroe St
Suite 100
Dearborn, MI 48124-2847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Venocure, PLLC Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Mancini Consulting L.L.C. Cardiovascular Disease PastSince Oct 23, 2014 Accepting new patients
Hala Nahhas, M.D., PLLC Past Accepting new patients

Locations

19135 Allen Rd
Ste 100
Brownstown Twp, MI 48183
Phone (734) 479-1090

2881 Monroe St
Ste 100
Dearborn, MI 48124
Phone (313) 562-3232

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

2881 Monroe St
Dearborn, MI 48124
Phone (313) 562-3232

22060 Beech St
Ste 300
Dearborn, MI 48124
Phone (313) 228-0230

2881 Monroe St
Ste 1
Dearborn, MI 48124
Phone (313) 562-3232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIGBA
  • Direct secure messaging: jchattahi206334@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1780893214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 MONROE ST",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243475",
            "telephone_number": "313-562-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 MONROE ST",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243475",
            "telephone_number": "313-562-3232",
            "fax_number": "313-563-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTAHI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085477",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301085477",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301085477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.