Active NPI
Sophia K. Arunselvan, M.D.
- Nephrology Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301084038
- Practice address
- 1611 Monroe St
Dearborn, MI 48124-2912 - Phone
- (248) 808-5721
- NPI assigned
- May 14, 2007
- Last updated
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301084038 | MI | |
| Nephrology Physician | 207RN0300X | 4301084038 | MI | Primary |
Addresses
Primary practice location
1611 Monroe St
Dearborn, MI 48124-2912
Mailing address
27906 Western Golf Dr.
Livonia, MI 48154
Phone (734) 421-0436
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
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14555 Levan Rd
Suite 308
Livonia, MI 48154-5085
Phone (734) 288-3370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comorin Kidneycare PLLC | Nephrology | Current | Accepting new patients |
Locations
1611 Monroe St
Dearborn, MI 48124
Phone (313) 254-4039
14555 Levan Rd
Ste 308
Livonia, MI 48154
Phone (734) 288-3370
14555 Levan Rd
Ste 403
Livonia, MI 48154
Phone (734) 462-4000
Organizations & group practices 1
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.
-
- Nephrology Physician
- Livonia, MI
- NPI 1528480365
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Greenfield Health Systems
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Livonia, MI
- NPI 1376563767
Dialysis facility
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1194930776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27906 WESTERN GOLF DR.",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-421-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242912",
"telephone_number": "248-808-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARUNSELVAN",
"first_name": "SOPHIA",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301084038",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301084038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.