NPIMap

Organization Active NPI

Pankaj Hukku, MD PC

Doing business as Pulmonary and Sleep disorders Center

  • Pulmonary Disease Physician
  • Troy, MI
National Provider Identifier
1083660393
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301047842 Issued in MI
Legal business name
PANKAJ HUKKU, MD PC
Doing business as
Pulmonary and Sleep disorders Center
Practice address
1380 Coolidge Hwy Ste 110
Troy, MI 48084-7067
Phone
(248) 280-1867
Fax
(248) 280-0222
NPI assigned
May 26, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Pankaj Hukku, MDNPI 1932198512
Title
Owner
Phone
(248) 280-1867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301047842 MI Primary

Addresses

Primary practice location

1380 Coolidge Hwy Ste 110
Troy, MI 48084-7067

Mailing address

PO Box 2502
Birmingham, MI 48012-2502
Phone (248) 212-6442

Other identifiers 1

IdentifierTypeStateIssuer
3235280MedicaidMI

Other names 1

  • Pulmonary and Sleep disorders Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000540 MI Part B Supplier - Clinic/Group Practice 9739191610 Receives reassigned benefits from 4 practitioners
Practice locations: Royal Oak, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

909 W Maple Rd
Ste 105
Clawson, MI 48017
Phone (248) 280-1867

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1083660393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2502",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480122502",
            "telephone_number": "248-212-6442",
            "fax_number": "248-280-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY STE 110",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847067",
            "telephone_number": "248-280-1867",
            "fax_number": "248-280-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKAJ HUKKU, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "HUKKU",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-280-1867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301047842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3235280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary and Sleep disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.