Individual provider Active NPI

Sangita Pradhan, MD

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1144290446
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074932 Issued in MI
Practice address
441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585
Phone
(248) 651-1155
Fax
(248) 651-8537
NPI assigned
Jan 26, 2006
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP074932 MI
Internal Medicine Physician 207R00000X 4301074932 MI Primary

Addresses

Primary practice location

441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585

Mailing address

441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585
Phone (248) 651-1155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sangita.pradhan@beaumont.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000283 MI Practitioner - Internal Medicine 9335101708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Your Physicians P.C.Group PAC ID 5294811360, 2 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

441 S Livernois Rd
Suite 185
Rochester Hills, MI 48307-2585
Phone (248) 841-1040

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

6870 Crooks Rd
Troy, MI 48098-1704
Phone (248) 293-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP074932MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
South Hills, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sangita.pradhan@beaumont.org
  • Direct secure messaging: spradhan1145001@direct.hfhs.org

Organizations & group practices 4

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 10

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1144290446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 185",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-651-1155",
            "fax_number": "248-651-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 185",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-651-1155",
            "fax_number": "248-651-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "SANGITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SP074932",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sangita.pradhan@beaumont.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "441 S Livernois Rd Ste 185",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483072585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.