Individual provider Active NPI

Erawati Vishwas Bawle, MD

  • Clinical Genetics (M.D.) Physician
  • Detroit, MI
National Provider Identifier
1912944919
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
4301933771 Issued in MI
Practice address
3901 Beaubien Blvd,
Children'S Hospital of Michigan, Div of Genetics.
Detroit, MI 48201-2061
Phone
(313) 745-4513
Fax
(313) 745-4827
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 4301933771 MI Primary
Pediatrics Physician 208000000X 4301033771 MI

Addresses

Primary practice location

3901 Beaubien Blvd,
Children'S Hospital of Michigan, Div of Genetics.
Detroit, MI 48201-2061

Mailing address

3901 Beaubien,
Children'S Hospital of Michigan, Div of Genetics.
Detroit, MI 48201-2061
Phone (313) 745-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301933771MIMDClinical Genetics (M.D.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912944919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN,",
            "address_2": "CHILDREN'S HOSPITAL OF MICHIGAN, DIV OF GENETICS.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012061",
            "telephone_number": "313-745-4513",
            "fax_number": "313-745-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN BLVD,",
            "address_2": "CHILDREN'S HOSPITAL OF MICHIGAN, DIV OF GENETICS.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012061",
            "telephone_number": "313-745-4513",
            "fax_number": "313-745-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWLE",
        "first_name": "ERAWATI",
        "middle_name": "VISHWAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MI",
            "license": "4301933771",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301033771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.