TIA CHAKRABORTY (M.D.) – Neurocritical Care Physician, NPI 1548677263

TIA CHAKRABORTY (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301501463 (MI). The NPI Number for TIA CHAKRABORTY (M.D.) is 1548677263

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TIA CHAKRABORTY (M.D.)
NPI
1548677263
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
15 July 2014
Last Update Date
8 August 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6163915600
Graduation Year
2014 (12 years ago)
PAC ID
6204054505
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20200818000752
Address ID
MI495084600KE4444XSEXX401
Telehealth
Yes

Contacts

Secure Messaging
tchakraborty264814@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

964 NEUROLOGY in MI

Provider Addresses for TIA CHAKRABORTY (M.D.)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 100 MICHIGAN ST NE # MC019

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-0310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: UCB, Inc. ($413).

Total Amount

$413

General + Research + Ownership

Payments

15

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$413
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200818000752INeurologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes6335$0
99292Critical care, each additional 30 minutes5517$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Does TIA CHAKRABORTY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIA CHAKRABORTY (M.D.) uses 1548677263.
Is TIA CHAKRABORTY (M.D.) still practicing?
TIA CHAKRABORTY (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes TIA CHAKRABORTY (M.D.)?
For research purposes, treat TIA CHAKRABORTY (M.D.) as Neurocritical Care Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is TIA CHAKRABORTY (M.D.) based?
TIA CHAKRABORTY (M.D.) is tied to Grand Rapids, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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