Chandra Kanth Ala, MD
Individual provider Active NPI Cardiovascular Disease Physician · Roseville, MI
NPI 1992990089 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1992990089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 4301090225 (MI)
- Practice address
- 25195 Kelly Rd Ste a
Roseville, MI 48066-5084 - Phone
- (586) 775-4594
- Fax
- (586) 775-4506
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health St. John Hospital
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 868-9045
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Henry Ford Health Warren Hospital
- Ascension Providence Rochester Hospital
- Beaumont Hospital - Grosse Pointe
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 15 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100913000812 | MI | Practitioner - Cardiovascular Disease (Cardiology) |
2163547241 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090225 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Health Providence Hospital | Current |
Accepting new patients | |
| University Physician Group | Current |
Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| University Physician Group | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Health St. John Hospital | Current |
Accepting new patients | |
| Henry Ford Health Providence Hospital | Cardiovascular Disease | Current |
Accepting new patients |
| St. John Hospital | Past | Accepting new patients | |
| Henry Ford Cornerstone Medical Group | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481
17900 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (586) 868-9020
17900 23 Mile Rd
Ste 407
Macomb, MI 48044
Phone (586) 868-9008
26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144
1135 W University Dr
Ste 210
Rochester Hls, MI 48307
Phone (248) 650-4660
25195 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 775-4594
16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- cala705630@direct.hfhs.org
- chandra.ala.1@8209.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301090225 | MI | |
| Hospitalist Physician | 208M00000X | 4301090225 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301090225 | MI | Yes |
Addresses
Primary practice location
25195 Kelly Rd Ste a
Roseville, MI 48066-5084
Mailing address
25195 Kelly Rd Ste a
Roseville, MI 48066-5084
Phone (586) 775-4594
Other practice location 1
17900 23 Mile Rd Ste 303
Macomb, MI 48044-1161
Phone (586) 868-9020
Other providers in Roseville, MI
- Ahmen Home Health Care
- Aii Medicine PLLC
- Mario Angelo Aiosa
- Gina Aiuto
- Mohamad K. Ajjour
- Emad Alatassi
- Adil Jadoo Albaghdadi I
- Ahmed Alemara
- All About Smiles Roseville Docs P.C.
- All About Smiles Roseville Docs P.C.
All providers in Roseville, MI · Cardiovascular Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.