K & S Family Practice Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SP406326 Issued in MI

Legal business name

K & S FAMILY PRACTICE CLINIC PC

Practice address

2901 S Newburgh Rd
Wayne, MI 48184-1001

Phone

(734) 729-7220

Fax

(734) 729-7227

NPI assigned

Apr 16, 2007

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suman Patel, M.D.

Title

Owner

Phone

(734) 729-7220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sumanchandra M Patel, M.D.

  • Family Medicine Physician
  • Wayne, MI
  • NPI 1790773729
  Medicare reassignment
• Vijay C Patel, M.D.

  • Family Medicine Physician
  • Wayne, MI
  • NPI 1275678948
  NPD
• Claire Pei, D.O.

  • Family Medicine Physician
  • Wayne, MI
  • NPI 1629066758
  NPD (past)
• Santosh Doddamane, DO

  • Internal Medicine Physician
  • Wallingford, CT
  • NPI 1669491775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1023233855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S NEWBURGH RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841001",
            "telephone_number": "734-729-7220",
            "fax_number": "734-729-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S NEWBURGH RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841001",
            "telephone_number": "734-729-7220",
            "fax_number": "734-729-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & S FAMILY PRACTICE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-729-7220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SP406326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Flomesha Jones
• Maureen Jones, OT
• Amity Jordan
• Literia Shavonne Joyce
• Katharine Ann Joyner
• Jason R Kalis, M.ED.
• Noah Benjamin Karson
• Kavitha Ponduri MD PC
• Lauren Kawnowski, LLMSW, QIDP
• Adilakshmi Kaza, MD

• Family Medicine Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.