Individual provider Active NPI

Satheesh Gunaga, D.O.

  • Emergency Medicine Physician
  • Wyandotte, MI
National Provider Identifier
1063611796
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5315029988 Issued in MI
Practice address
2333 Biddle St
Henry Ford Wyandotte Hospital Dept of Medical Education
Wyandotte, MI 48192-4668
Phone
(734) 208-7148
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5315029988 MI Primary

Addresses

Primary practice location

2333 Biddle St
Henry Ford Wyandotte Hospital Dept of Medical Education
Wyandotte, MI 48192-4668

Mailing address

17759 Yorkshire Dr
Riverview, MI 48193-8166
Phone (517) 410-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090902000467 MI Practitioner - Emergency Medicine 2062567605 Reassigns benefits to 2 organizations
I20140811002300 WI Practitioner - Emergency Medicine 2062567605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315029988MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Jul 14, 2014 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Epmg Downriver PLLC Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Black River Health Inc Current Accepting new patients
Black River Health Inc CurrentSince Jul 14, 2014 Accepting new patients

Locations

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

23050 West Rd
Brownstown Twp, MI 48183
Phone (734) 287-9880

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

Interoperability endpoints

  • Direct secure messaging: sgunaga61193@direct.hfhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1063611796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17759 YORKSHIRE DR",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481938166",
            "telephone_number": "517-410-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE ST",
            "address_2": "HENRY FORD WYANDOTTE HOSPITAL DEPT OF MEDICAL EDUCATION",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668",
            "telephone_number": "734-208-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNAGA",
        "first_name": "SATHEESH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5315029988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.