Active NPI
Sujini Palaniswamy, M.D.
- Family Medicine Physician
- Chesterfield, MI
National Provider Identifier
1093796278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301077107
- Practice address
- 30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720 - Phone
- (586) 421-3150
- Fax
- (586) 421-3151
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301077107 | MI | Primary |
Addresses
Primary practice location
30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720
Mailing address
30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720
Phone (586) 421-3150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4785757 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spalaniswamy9385@direct.hfhs.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15717 15 Mile Rd
Clinton Township, MI 48035-2101
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077107 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients |
Locations
80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410
30795 23 Mile Rd
Ste 205
Chesterfield, MI 48047
Phone (586) 421-3000
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
Interoperability endpoints
- spalaniswamy9385@direct.hfhs.org
Organizations & group practices 2
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.
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford Home Health Care
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616803200000",
"number": "1093796278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "SUITE 205",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475720",
"telephone_number": "586-421-3150",
"fax_number": "586-421-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"address_2": "SUITE 205",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475720",
"telephone_number": "586-421-3150",
"fax_number": "586-421-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANISWAMY",
"first_name": "SUJINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2021-03-27",
"certification_date": "2021-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301077107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4785757",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spalaniswamy9385@direct.hfhs.org",
"affiliation": "N",
"address_1": "30795 23 Mile Rd",
"address_2": "Suite 205",
"city": "Chesterfield",
"state": "MI",
"country_code": "US",
"postal_code": "480475720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.