Individual provider Active NPI

Arvind Gulati, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Novi, MI
National Provider Identifier
1952397093
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16696 Issued in MI
Practice address
23655 Novi Rd Ste 103
Novi, MI 48375-5442
Phone
(248) 348-2115
Fax
(248) 348-2595
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 16696 MI Primary

Addresses

Primary practice location

23655 Novi Rd Ste 103
Novi, MI 48375-5442

Mailing address

23655 Novi Rd Ste 103
Novi, MI 48375-5442
Phone (248) 348-2115

Other identifiers 5

IdentifierTypeStateIssuer
11293026OtherMICAQH NUMBER
16057OtherMIM-CARE
1326188OtherMIUNITED CONCORDIA
7931276OtherMIAETNA
97-5-63-0106-0OtherMIBC/BS OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000848 MI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9739087784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Detroit Mercy School of Dentistry, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23655 Novi Rd
Suite 103
Novi, MI 48375-5442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16696MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Arvind Gulati DDS PC Oral and Maxillofacial Surgery CurrentSince Feb 24, 2003 Accepting new patients

Locations

23655 Novi Rd
Ste 103
Novi, MI 48375
Phone (248) 348-2115

Interoperability endpoints

  • Direct secure messaging: agulati1130869@direct.hfhs.org

Organizations & group practices 1

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1952397093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23655 NOVI RD STE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755442",
            "telephone_number": "248-348-2115",
            "fax_number": "248-348-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23655 NOVI RD STE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755442",
            "telephone_number": "248-348-2115",
            "fax_number": "248-348-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "16696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11293026",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "16057",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1326188",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7931276",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "97-5-63-0106-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.