NPIMap

Individual provider Active NPI

Chandra Kanth Ala, MD

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1992990089
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301090225 Issued in 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
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301090225 MI
Hospitalist Physician 208M00000X 4301090225 MI
Cardiovascular Disease Physician 207RC0000X 4301090225 MI Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000812 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Hospitalist 2163547241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 868-9045

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090225MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 15, 2024 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Dec 21, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Dec 21, 2025 Accepting new patients
University Physician Group Internal Medicine CurrentSince Sep 6, 2010 Accepting new patients
University Physician Group CurrentSince Sep 6, 2010 Accepting new patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
University Physician Group Past Accepting new patients
Henry Ford Cornerstone Medical Group Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

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

  • Direct secure messaging: cala705630@direct.hfhs.org
  • Direct secure messaging: chandra.ala.1@8209.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 11

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 6

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1992990089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD STE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665084",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD STE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665084",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17900 23 Mile Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441161",
            "country_code": "US",
            "telephone_number": "586-868-9020",
            "fax_number": "586-868-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALA",
        "first_name": "CHANDRA",
        "middle_name": "KANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090225",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301090225",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301090225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.