Individual provider Active NPI

Renu Chaturvedi, M.D.

  • Family Medicine Physician
  • Holt, MI
National Provider Identifier
1891763306
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301077061 Issued in MI
Practice address
2450 Delhi Commerce Dr
Suite 4
Holt, MI 48842-2193
Phone
(517) 699-3820
Fax
(517) 699-3824
NPI assigned
Mar 9, 2006
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301077061 MI Primary

Addresses

Primary practice location

2450 Delhi Commerce Dr
Suite 4
Holt, MI 48842-2193

Mailing address

4454 Seneca Dr
Okemos, MI 48864-2946
Phone (517) 381-4698

Other identifiers 1

IdentifierTypeStateIssuer
4482946MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2012 Accepting new patients

Locations

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

2104 Jolly Rd
Ste 220
Okemos, MI 48864
Phone (517) 381-2700

2104 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (517) 975-3800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1891763306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 SENECA DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642946",
            "telephone_number": "517-381-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 DELHI COMMERCE DR",
            "address_2": "SUITE 4",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422193",
            "telephone_number": "517-699-3820",
            "fax_number": "517-699-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATURVEDI",
        "first_name": "RENU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301077061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4482946",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.