Individual provider Active NPI

Neelam Patel, DC

  • Chiropractor
  • Chesterfield, MI
National Provider Identifier
1881101368
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010625 Issued in MI
Practice address
28098 23 Mile Rd
Chesterfield, MI 48051-2316
Phone
(586) 949-0123
Fax
(586) 228-9019
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010625 MI Primary

Addresses

Primary practice location

28098 23 Mile Rd
Chesterfield, MI 48051-2316

Mailing address

46854 Amberwood Dr
Shelby Township, MI 48317-4100

Other identifiers 1

IdentifierTypeStateIssuer
1881101368MedicaidMI

Other names 1

  • Neelam Jethva Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305001593 MI Practitioner - Chiropractic 5496016602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians
Nora J Zoma DC PLLCGroup PAC ID 2860612256, 2 clinicians

Practice addresses (Care Compare)

28098 23 Mile Rd
Chesterfield, MI 48051-2316
Phone (586) 949-0123

2888 E Long Lake Rd
Suite 130
Troy, MI 48085-3793
Phone (248) 464-7579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc Chiropractor CurrentSince Dec 5, 2018 Accepting new patients
Total Health Systems Inc CurrentSince Dec 5, 2018 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Feb 7, 2018 Accepting new patients

Locations

26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 716-8485

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

30045 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 771-2006

57911 Van Dyke Rd
Washington, MI 48094
Phone (586) 781-0800

Interoperability endpoints

  • Direct secure messaging: npatel733514@direct.hfhs.org

Organizations & group practices 5

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1881101368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46854 AMBERWOOD DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28098 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512316",
            "telephone_number": "586-949-0123",
            "fax_number": "586-228-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEELAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881101368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEELAM",
            "last_name": "JETHVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.