Individual provider Active NPI

Paula Ann Chorazy, MD

  • Pediatrics Physician
  • Southfield, MI
National Provider Identifier
1821092305
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301056407 Issued in MI
Practice address
16001 West Nine Mile Road
Dept of Critical Care
Southfield, MI 48075
Phone
(248) 849-3000
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301056407 MI
Pediatric Critical Care Medicine Physician 2080P0203X 4301056407 MI
Pediatrics Physician 208000000X 4301056407 MI Primary

Addresses

Primary practice location

16001 West Nine Mile Road
Dept of Critical Care
Southfield, MI 48075

Mailing address

701 S Lincoln St
Bay City, MI 48708-7412
Phone (989) 895-9876

Other identifiers 1

IdentifierTypeStateIssuer
338726310MedicaidMI

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
I20060110000327 MI Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Emergency Medicine 1951324524 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Street Pediatrics PLLC Current Accepting new patients
Covenant Medical Center, Inc Pediatric Critical Care Medicine CurrentSince Jul 13, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Debbie Filek MD Past Accepting new patients

Locations

701 S Lincoln St
Bay City, MI 48708
Phone (989) 895-9876

2919 Wilder Rd
Ste 210
Bay City, MI 48706
Phone (989) 607-0590

2919 Wilder Rd
Bay City, MI 48706
Phone (989) 583-0180

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • Direct secure messaging: pchorazy1121073@direct.hfhs.org

Organizations & group practices 4

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1821092305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S LINCOLN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087412",
            "telephone_number": "989-895-9876",
            "fax_number": "989-895-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 WEST NINE MILE ROAD",
            "address_2": "DEPT OF CRITICAL CARE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORAZY",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301056407",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MI",
            "license": "4301056407",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301056407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338726310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.