Organization Active NPI

Santhakumar Neurology Associates, PC

  • Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1164973095
Registry record updated Oct 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301078149 Issued in MI
Legal business name
SANTHAKUMAR NEUROLOGY ASSOCIATES, PC
Practice address
1423 Walton Blvd
Rochester Hills, MI 48309-1775
Phone
(248) 495-7417
NPI assigned
Oct 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2016

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

Authorized official

Name
Dr. Sunitha Santhakumar, M.D
Title
Neurologist
Phone
(248) 495-7417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301078149 MI Primary

Addresses

Primary practice location

1423 Walton Blvd
Rochester Hills, MI 48309-1775

Mailing address

1423 Walton Blvd
Rochester Hills, MI 48309-1775
Phone (248) 495-7417

Other identifiers 2

IdentifierTypeStateIssuer
0F36135053OtherMIMEDICARE NUMBER
1689746224MedicaidMI

National Provider Directory

National Provider Directory

Locations

1423 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 495-7417

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14670/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1476489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476489600000",
    "number": "1164973095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091775",
            "telephone_number": "248-495-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091775",
            "telephone_number": "248-495-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTHAKUMAR NEUROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-15",
        "last_updated": "2016-10-15",
        "status": "A",
        "authorized_official_last_name": "SANTHAKUMAR",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "248-495-7417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301078149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "0F36135053",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689746224",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.