NPIMap

Individual provider Active NPI

Satish N. Kamath, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Dearborn, MI
National Provider Identifier
1093712804
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
037671 Issued in MI
Practice address
24100 Oxford St
Dearborn, MI 48124-2481
Phone
(313) 274-2500
Fax
(313) 274-7805
NPI assigned
Jul 7, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 037671 MI Primary

Addresses

Primary practice location

24100 Oxford St
Dearborn, MI 48124-2481

Mailing address

5195 Rector CT
Bloomfield Hills, MI 48302-2655
Phone (248) 855-6145

Other identifiers 3

IdentifierTypeStateIssuer
1108201261OtherMIBCBS IND
1108201261OtherMIBCN IND
791083861OtherMIRAILROAD MEDICARE

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
I20110520000654 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5294911566 Reassigns benefits to 1 organization
Practice locations: Dearborn, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Medical AssociatesGroup PAC ID 9638252687, 5 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

1951 Monroe St
Dearborn, MI 48124-2916
Phone (313) 563-5757

23852 Michigan Ave
Dearborn, MI 48124-1829

24100 Oxford St
Dearborn, MI 48124-2481
Phone (313) 274-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037671MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Cedar Medical SNF Services PLLC PastSince Oct 1, 2023 Accepting new patients
Samyuktha Rani Madishetty MD PC Past Accepting new patients

Locations

1951 Monroe St
Dearborn, MI 48124
Phone (313) 563-5757

24100 Oxford St
Dearborn, MI 48124
Phone (313) 274-2500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1093712804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 RECTOR CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022655",
            "telephone_number": "248-855-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 OXFORD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242481",
            "telephone_number": "313-274-2500",
            "fax_number": "313-274-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMATH",
        "first_name": "SATISH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-10-10",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "037671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "1108201261",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN IND",
            "identifier": "1108201261",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791083861",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.