Highland Park Medical Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HIGHLAND PARK MEDICAL CENTER, PLLC

Practice address

15119 Woodward Ave
Highland Park, MI 48203-2907

Phone

(313) 865-2020

NPI assigned

Jun 29, 2011

Last updated

Jun 29, 2011By 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

Dr. Sunitha Nambiar, M.D.NPI 1639376858

Title

Medical Director

Phone

(313) 865-2020

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 5

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.

• Sunitha Nambiar, M.D.

  • Family Medicine Physician
  • Highland Park, MI
  • NPI 1639376858
  Medicare reassignment Authorized official
• Ashwani Jaiswal, M.D.

  • Family Medicine Physician
  • Highland Park, MI
  • NPI 1538369426
  Medicare reassignment
• Stephanie Vieira

  • Physician Assistant
  • Highland Park, MI
  • NPI 1487470910
  NPD
• Kashif G Rasool, M.D.

  • Family Medicine Physician
  • Highland Park, MI
  • NPI 1629287461
  NPD (past)
• Valerie Vheri-Elana Riggins, DNP, FNP

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1255195772
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1023305026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032907",
            "telephone_number": "313-865-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15119 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032907",
            "telephone_number": "313-865-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "NAMBIAR",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-865-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazelstine Transportation
• HCC Connection LLC
• HCC Connection LLC
• Heritage Haven Homes
• Wendy Marcella Hershey, FAODP
• Highland Park Oak Street Pharmacy, LLC (PharMor Pharmacy- Oak Street Clinic)
• Highland Park Opco, LLC (The Villa at the Park)
• April Hollis
• Kim C Hood, FAODP
• Audrey Rose Hooke, R.N

• Family Medicine Physician in Highland Park, MI
• Providers in Highland Park, 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 29, 2011; 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.