VIVIAN RAJESWAREN MD
NPI 1487440095
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 18, 2025PECOS Enrolled
4717 SAINT ANTOINE ST, DETROIT, MI 48201(512) 545-3346 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivian Rajeswaren Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN RAJESWAREN MD (NPI 1487440095) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487440095
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVIVIAN RAJESWARENCredential: MD
Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423
Mailing Address1635 Merrick StDetroit, MI 48208-1715 · (512) 545-3346
Sole ProprietorYes
Enumeration DateApril 18, 2025
NPPES CertifiedApril 9, 2025
NPI 1487440095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4717 SAINT ANTOINE ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vivian Rajeswaren Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Optometrist
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4717 SAINT ANTOINE ST
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Rajeswaren's NPI number?

The NPI number for Vivian Rajeswaren is 1487440095. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Vivian Rajeswaren located?

Vivian Rajeswaren practices at 4717 Saint Antoine St, Detroit, MI 48201. The listed phone number is (512) 545-3346.

What is Vivian Rajeswaren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vivian Rajeswaren enrolled in Medicare?

Yes. Vivian Rajeswaren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Rajeswaren was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.