Organization Active NPI

Belleville Health Care PC

  • Family Medicine Physician
  • Belleville, MI
National Provider Identifier
1912051004
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELLEVILLE HEALTH CARE PC
Practice address
265 Main St
Belleville, MI 48111-3284
Phone
(734) 697-9300
Fax
(734) 697-0374
NPI assigned
Jan 23, 2007
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Haraga Chengappa, M.D.NPI 1811070022
Title
Medical Officer
Phone
(734) 697-9300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

265 Main St
Belleville, MI 48111-3284

Mailing address

265 Main St
Belleville, MI 48111-3284
Phone (734) 697-9300

Other identifiers 1

IdentifierTypeStateIssuer
700H210540OtherMIBCBS

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1912051004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113284",
            "telephone_number": "734-697-9300",
            "fax_number": "734-697-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113284",
            "telephone_number": "734-697-9300",
            "fax_number": "734-697-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "CHENGAPPA",
        "authorized_official_first_name": "HARAGA",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "734-697-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700H210540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.