Individual provider Active NPI

Sathiyakala Rajendiran

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
National Provider Identifier
1114554193
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.49548 Issued in AL
Practice address
1675 Leahy St Ste 201
Muskegon, MI 49442-5542
Phone
(231) 740-6180
Fax
(231) 672-8271
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X MD.49548 AL Primary

Addresses

Primary practice location

1675 Leahy St Ste 201
Muskegon, MI 49442-5542

Mailing address

1675 Leahy St Ste 201
Muskegon, MI 49442-5542
Phone (231) 740-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250217000225 AL Practitioner - Obstetrics/Gynecology 1456881705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Partners LLCGroup PAC ID 6608908488, 6 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

1026 Goodyear Ave
Suite 200
Gadsden, AL 35903-1194
Phone (256) 534-3977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.49548ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Partners LLC Obstetrics & Gynecology CurrentSince Feb 1, 2025 Accepting new patients
Southern Cardiovascular Associates, PC Past Accepting new patients
Gadsden Regional Medical Center LLC Past Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 200
Gadsden, AL 35903
Phone (256) 492-9924

Interoperability endpoints

  • Direct secure messaging: sathiyakala.rajendiran.1@1831.direct.athenahealth.com
  • Direct secure messaging: srajendiran1037426@direct.trinity-health.org

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 1

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1114554193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "231-740-6180",
            "fax_number": "231-672-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "231-740-6180",
            "fax_number": "231-672-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDIRAN",
        "first_name": "SATHIYAKALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.49548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.