Active NPI
Haraga Chengappa, MD
- Family Medicine Physician
- Belleville, MI
National Provider Identifier
1811070022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301062555
- Practice address
- 265 Main St
Belleville Health Care PC
Belleville, MI 48111 - Phone
- (734) 697-9300
- Fax
- (734) 697-0374
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 4301062555 | MI | Primary |
Addresses
Primary practice location
265 Main St
Belleville Health Care PC
Belleville, MI 48111
Mailing address
265 Main St
Belleville Health Care PC
Belleville, MI 48111
Phone (734) 697-9300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F84195 | Other | MI | HEALTH ALLIANCE PLAN |
| 001066 | Other | MI | MIDWEST HEALTH PLAN |
| 383254111 | Other | MI | TAX ID# COMMERCIAL INS |
| 319935210 | Medicaid | MI | |
| 700H210540 | Other | MI | BCBS |
| 122538 | Other | MI | GREAT LAKES HEALTH PLAN |
| 125085 | Other | MI | CARE CHOICE |
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 |
|---|---|---|---|
| 4301062555 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belleville Health Care PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- haraga.chengappa@gardencitymed.ehi.direct-ci.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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811070022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 MAIN ST",
"address_2": "BELLEVILLE HEALTH CARE PC",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "48111",
"telephone_number": "734-697-9300",
"fax_number": "734-697-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 MAIN ST",
"address_2": "BELLEVILLE HEALTH CARE PC",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "48111",
"telephone_number": "734-697-9300",
"fax_number": "734-697-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENGAPPA",
"first_name": "HARAGA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301062555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "F84195",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "001066",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID# COMMERCIAL INS",
"identifier": "383254111",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319935210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "700H210540",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "122538",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICE",
"identifier": "125085",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.