Organization Active NPI

Lourin Chahin MD PLLC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1780987156
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301079583 Issued in MI
Legal business name
LOURIN CHAHIN MD PLLC
Practice address
1950 E Wattles Rd
Suite 101
Troy, MI 48085-5099
Phone
(248) 376-4821
Fax
(586) 254-3872
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Mrs. Lourin Chahin, M.D.NPI 1902816333
Title
Owner
Phone
(248) 376-4821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301079583 MI Primary

Addresses

Primary practice location

1950 E Wattles Rd
Suite 101
Troy, MI 48085-5099

Mailing address

3879 Teakwood LN
Rochester Hills, MI 48309-1055
Phone (248) 376-4821

Other identifiers 1

IdentifierTypeStateIssuer
4301079583OtherMIMICHIGAN STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000277 MI Part B Supplier - Clinic/Group Practice 0143405506 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1780987156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 TEAKWOOD LN",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091055",
            "telephone_number": "248-376-4821",
            "fax_number": "586-254-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-376-4821",
            "fax_number": "586-254-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURIN CHAHIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "CHAHIN",
        "authorized_official_first_name": "LOURIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-376-4821",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "4301079583",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.