Organization Active NPI

Vellore R Ramakrishnan M.D, P.C.

Doing business as Vascular Associates of Michigan PC..

  • Specialist
  • Livonia, MI
National Provider Identifier
1871624072
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301037715 Issued in MI
Legal business name
VELLORE R RAMAKRISHNAN M.D, P.C.
Doing business as
Vascular Associates of Michigan PC..
Practice address
15370 Levan Rd
Suite 1
Livonia, MI 48154-1903
Phone
(734) 462-8401
Fax
(734) 462-1410
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
John Iljas, D.O.NPI 1669440079
Title
President
Phone
(734) 462-8401

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301037715 MI Primary

Addresses

Primary practice location

15370 Levan Rd
Suite 1
Livonia, MI 48154-1903

Mailing address

15370 Levan Rd
Suite 1
Livonia, MI 48154-1903
Phone (734) 462-8401

Other names 1

  • VASCULAR ASSOCIATES OF MICHIGAN PC.. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000516 MI Part B Supplier - Clinic/Group Practice 3476682535 Receives reassigned benefits from 3 practitioners
Practice locations: Livonia, MI; Commerce Township, MI; Detroit, MI; Allen Park, MI

National Provider Directory

National Provider Directory

Locations

1 William Carls Dr
Ste 270C
Commerce Township, MI 48382
Phone (248) 360-8244

15370 Levan Rd
Ste 1
Livonia, MI 48154
Phone (734) 462-8401

36616 Plymouth Rd
Ste A
Livonia, MI 48150

36616 Plymouth Rd
Livonia, MI 48150
Phone (734) 421-7100

15146 Levan Rd
Ste 46
Livonia, MI 48154
Phone (734) 462-8401

Practitioners & affiliated clinicians

Practitioners 4

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1871624072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15370 LEVAN RD",
            "address_2": "SUITE 1",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541903",
            "telephone_number": "734-462-8401",
            "fax_number": "734-462-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15370 LEVAN RD",
            "address_2": "SUITE 1",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541903",
            "telephone_number": "734-462-8401",
            "fax_number": "734-462-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELLORE R RAMAKRISHNAN M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "ILJAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-462-8401",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301037715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VASCULAR ASSOCIATES OF MICHIGAN PC..",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VASCULAR ASSOCIATES OF MICHIGAN PC..",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.