Individual provider Active NPI

Lalitha K Sastry, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Clinton TWP, MI
National Provider Identifier
1215982137
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036197 Issued in MI
Practice address
15855 West 19 Mile Rd
St Josephs Medical Center
Clinton TWP, MI 48038
Phone
(586) 263-2300
Fax
(586) 263-2595
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036197 MI Primary

Addresses

Primary practice location

15855 West 19 Mile Rd
St Josephs Medical Center
Clinton TWP, MI 48038

Mailing address

PO Box 55 114
Detroit, MI 48255
Phone (248) 858-3197

Other identifiers 2

IdentifierTypeStateIssuer
4843897MedicaidMI
0821554OtherMIBCBS TRUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036197MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainwaring Pathology Group PC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Northwest Pathology Consultants PC Anatomic Pathology & Clinical Pathology PastSince Dec 18, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215982137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55 114",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48255",
            "telephone_number": "248-858-3197",
            "fax_number": "248-858-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 WEST 19 MILE RD",
            "address_2": "ST JOSEPHS MEDICAL CENTER",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-2300",
            "fax_number": "586-263-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRY",
        "first_name": "LALITHA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "036197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4843897",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TRUST",
            "identifier": "0821554",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.