Individual provider Active NPI

Sudha R Patel, M.D.

  • Internal Medicine Physician
  • Westland, MI
National Provider Identifier
1013917236
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SP042387 Issued in MI
Practice address
34210 Glenwood Rd
Westland, MI 48186-5439
Phone
(734) 728-2300
Fax
(734) 728-1400
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SP042387 MI Primary

Addresses

Primary practice location

34210 Glenwood Rd
Westland, MI 48186-5439

Mailing address

49848 Cooke Ave
Plymouth, MI 48170-2885
Phone (734) 459-4128

Other identifiers 1

IdentifierTypeStateIssuer
1874675MedicaidMI

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
I20080813000855 MI Practitioner - Internal Medicine 2860567617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34210 Glenwood Rd
Westland, MI 48186-5439
Phone (734) 728-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP042387MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sudha R Patel MD PC Internal Medicine CurrentSince Jul 1, 1985 Accepting new patients

Locations

34210 Glenwood Rd
Westland, MI 48186
Phone (313) 721-5820

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBDCA/Endpoint/FEBDCA

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.

Hospital & facility affiliations 7

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1013917236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49848 COOKE AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702885",
            "telephone_number": "734-459-4128",
            "fax_number": "734-728-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34210 GLENWOOD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865439",
            "telephone_number": "734-728-2300",
            "fax_number": "734-728-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUDHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SP042387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1874675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.