Organization Active NPI

Chaya Kenkre, MD., PLLC

  • Internal Medicine Physician
  • Ypsilanti, MI
National Provider Identifier
1811092166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075666 Issued in MI
Legal business name
CHAYA KENKRE, MD., PLLC
Practice address
5301 E Huron River Dr
St. Joseph Mercy Hospital
Ypsilanti, MI 48197
Phone
(734) 761-8439
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Chaya Kenkre, M.D.,NPI 1518914712
Title
Presidnet
Phone
(734) 761-8439

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 4301075666 MI Primary

Addresses

Primary practice location

5301 E Huron River Dr
St. Joseph Mercy Hospital
Ypsilanti, MI 48197

Mailing address

P O Box 130146
Ann Arbor, MI 48113

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811092166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 130146",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "ST. JOSEPH MERCY HOSPITAL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-761-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAYA KENKRE, MD., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENKRE",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "734-761-8439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.