Individual provider Active NPI

Sundhar R Ramasamy, MD

  • Ophthalmology Physician
  • Saginaw, MI
National Provider Identifier
1154326247
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301061263 Issued in MI
Practice address
5161 Cardinal Park Drive
Saginaw, MI 48604-9435
Phone
(989) 797-2400
Fax
(989) 249-1035
NPI assigned
Jun 16, 2005
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301061263 MI Primary

Addresses

Primary practice location

5161 Cardinal Park Drive
Saginaw, MI 48604-9435

Mailing address

PO Box 5649
Saginaw, MI 48603-0649
Phone (989) 797-2400

Other identifiers 1

IdentifierTypeStateIssuer
1004153492MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sundhar.ramasamy.p1@direct.aea.nextgenshare.com

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
I20100319000610 MI Practitioner - Ophthalmology 4082717053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andersen Eye Associates, PLCGroup PAC ID 8921089871, 9 clinicians

Practice addresses (Care Compare)

5161 Cardinal Park Dr
Saginaw, MI 48604-9435
Phone (989) 797-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
96.08
Improvement activities
40
Cost
76.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301061263MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andersen Eye Associates, PLC CurrentSince Aug 1, 1999 Accepting new patients
Andersen Eye Associates, PLC Ophthalmology CurrentSince Aug 1, 1999 Accepting new patients
Andersen Eye Prosthetics LLC PastSince Sep 16, 2011 Accepting new patients

Locations

5161 Cardinal Park Dr
Saginaw, MI 48604
Phone (989) 249-6270

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1154326247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5649",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030649",
            "telephone_number": "989-797-2400",
            "fax_number": "989-249-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 CARDINAL PARK DRIVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049435",
            "telephone_number": "989-797-2400",
            "fax_number": "989-249-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASAMY",
        "first_name": "SUNDHAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301061263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004153492",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sundhar.ramasamy.p1@direct.aea.nextgenshare.com",
            "affiliation": "N",
            "address_1": "5161 Cardinal Park Drive",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.