Individual provider Active NPI

Sudha Chakravarty, MD

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1205823069
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301073432 Issued in MI
Practice address
28300 Orchard Lake Rd Ste 103
Farmington Hills, MI 48334-3704
Phone
(248) 287-7860
Fax
(248) 287-7861
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301073432 MI Primary

Addresses

Primary practice location

28300 Orchard Lake Rd Ste 103
Farmington Hills, MI 48334-3704

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

IHA Primary Care -Freedom
20206 Farmington Rd
Livonia, MI 48152
Phone (248) 476-4724

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
I20041008001434 MI Practitioner - Family Practice 1456310853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Olma Primary Non Risk LLCGroup PAC ID 1759792799, 16 clinicians

Practice addresses (Care Compare)

20206 Farmington Rd
Livonia, MI 48152-1412
Phone (248) 476-4724

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Primary Non Risk LLC Family Medicine Current Accepting new patients
Iha Olma Primary Non Risk LLC Family Medicine CurrentSince Jun 3, 2023 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

20206 Farmington Rd
#M
Livonia, MI 48152
Phone (248) 476-4724

20206 Farmington Rd
Livonia, MI 48152
Phone (248) 471-6585

Interoperability endpoints

  • Direct secure messaging: schakravarty2668273@direct.trinity-health.org

Organizations & group practices 2

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 3

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1205823069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "586-466-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28300 ORCHARD LAKE RD STE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343704",
            "telephone_number": "248-287-7860",
            "fax_number": "248-287-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "IHA Primary Care -Freedom",
            "address_2": "20206 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "48152",
            "country_code": "US",
            "telephone_number": "248-476-4724",
            "fax_number": "313-416-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRAVARTY",
        "first_name": "SUDHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.