NPIMap

Individual provider Active NPI

Subburaman Sivakumar, M.D D.O

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1073514873
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SS065284 Issued in MI
Practice address
33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358
Phone
(248) 893-6610
Fax
(248) 893-6746
NPI assigned
Aug 3, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 SS065284 MI Primary

Addresses

Primary practice location

33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358

Mailing address

33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358
Phone (248) 893-6610

Other identifiers 4

IdentifierTypeStateIssuer
2310443OtherMICIGNA
2604488OtherMIAETNA
1108268931OtherMIBLUE CROSS BLUE SHIELD
4301165MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000349 MI Practitioner - Internal Medicine 6103824776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Academic Hospitalist GroupGroup PAC ID 9830320589, 2 clinicians

Practice addresses (Care Compare)

33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358

36475 5 Mile Rd
Livonia, MI 48154-1971

41795 W 12 Mile Rd
Novi, MI 48377-3107
Phone (248) 449-1655

Hospital & facility affiliations

  • Parc Home Care Home health agency, Farmington Hills, MI, CCN 239272
  • Corsocare Home Health Home health agency, Milford, MI, CCN 239129
  • Better You Home Health, LLC Home health agency, Dearborn, MI, CCN 239323
  • Avanti Home Health Care Home health agency, Novi, MI, CCN 237668
  • Parc Hospice, LLC Hospice, Farmington Hills, MI, CCN 231715
  • Corsocare Hospice Hospice, Milford, MI, CCN 231649
  • Compassus-Northern Detroit Hospice, Warren, MI, CCN 231583
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Maple Manor Rehab Center of Novi Inc Nursing home, Novi, MI, CCN 235669

Merit-based Incentive Payment System (MIPS)

Final score
63.56 of 100Reported as individual
Quality
88.12
Improvement activities
0
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SS065284MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Academic Hospitalist Group Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Subburaman Sivakumar MD PC Internal Medicine CurrentSince May 15, 2000 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

33742 W 12 Mile Rd
Farmington Hills, MI 48331
Phone (248) 449-1655

37650 Professional Center Dr
Ste 1010A
Livonia, MI 48154
Phone (248) 552-9858

37650 Professional Center Dr
Ste 1010
Livonia, MI 48154

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

41795 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 449-1655

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

26715 Greenfield Rd
Southfield, MI 48076
Phone (248) 449-1655

Interoperability endpoints

  • Direct secure messaging: ssivakumar1151570@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parc Hospice LLCWest Bloomfield, MI, CCN 231715 Hospice Contracted Managing Employee Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 12

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1073514873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33742 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313358",
            "telephone_number": "248-893-6610",
            "fax_number": "248-893-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33742 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313358",
            "telephone_number": "248-893-6610",
            "fax_number": "248-893-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAKUMAR",
        "first_name": "SUBBURAMAN",
        "credential": "M.D D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SS065284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2310443",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2604488",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1108268931",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301165",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.