Individual provider Active NPI

Santosh K Rastogi, MD

  • Psychiatry Physician
  • Madison Heights, MI
National Provider Identifier
1043327117
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301049068 Issued in MI
Practice address
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone
(248) 967-7480
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301049068 MI Primary
Geriatric Psychiatry Physician 2084P0805X 4301049068 MI

Addresses

Primary practice location

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Mailing address

837 Jordan Dr
Troy, MI 48098-5627
Phone (248) 879-6459

Other identifiers 4

IdentifierTypeStateIssuer
MI5414OtherMIMEDICARE PTAN GROUP
1093711459OtherMINPI - CCC
MI5414001OtherMIMEDICARE PTAN INDIVIDUAL
3015553MedicaidMI

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
I20080428000484 MI Practitioner - Psychiatry 2860570165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Center PCGroup PAC ID 3971659046, 3 clinicians
Development Centers IncGroup PAC ID 0547254443, 15 clinicians

Practice addresses (Care Compare)

11885 E 12 Mile Rd
Suite 201a
Warren, MI 48093-3469
Phone (586) 558-6000

24424 W McNichols
Detroit, MI 48219-3653
Phone (313) 531-2500

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
58.04
Promoting interoperability
91
Improvement activities
40
Cost
81.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301049068MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santosh Rastogi MD PC Psychiatry CurrentSince Apr 12, 2012 Accepting new patients
Comprehensive Counseling Center PC CurrentSince Jul 3, 2013 Accepting new patients
Development Centers, Inc. Psychiatry CurrentSince Apr 11, 2015 Accepting new patients
Apex Behavioral Health,PLLC Past Accepting new patients

Locations

24424 W McNichols Rd
Detroit, MI 48219
Phone (313) 255-0900

17321 Telegraph Rd
Detroit, MI 48219
Phone (313) 255-0900

4321 E McNichols Rd
Hamtramck, MI 48212
Phone (313) 334-6717

17141 Ryan Rd
Hamtramck, MI 48212
Phone (313) 369-1717

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11885 E 12 Mile Rd
Ste 201A
Warren, MI 48093
Phone (586) 558-6000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8e77b480-944d-4d4a-a93e-e5a9fd83d5c6/
  • Direct secure messaging: srastogi1148623@direct.hfhs.org

Organizations & group practices 4

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 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1043327117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 JORDAN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985627",
            "telephone_number": "248-879-6459",
            "fax_number": "248-828-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "SANTOSH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301049068",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "4301049068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "MI5414",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - CCC",
            "identifier": "1093711459",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "MI5414001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015553",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.