NPIMap

Individual provider Active NPI

Sumita Joseph, MD

  • Diagnostic Radiology Physician
  • Southfield, MI
National Provider Identifier
1225584550
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
287695 Issued in MA
Practice address
Providence Hospital
16001 W. 9 Mile Rd
Southfield, MI 48075
Phone
(248) 849-3000
NPI assigned
Aug 28, 2016
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301512420 MI
Diagnostic Radiology Physician 2085R0202X 67000 AZ
Diagnostic Radiology Physician 2085R0202X 036161764 IL
Diagnostic Radiology Physician 2085R0202X ME158022 FL
Diagnostic Radiology Physician 2085R0202X 287695 MA Primary

Addresses

Primary practice location

Providence Hospital
16001 W. 9 Mile Rd
Southfield, MI 48075

Mailing address

1156 Heatherwoode Rd
Flint, MI 48532-2336
Phone (810) 449-7547

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-6509

Other practice location 2

601 John St
Kalamazoo, MI 49007-5341
Phone (269) 341-7654

Other identifiers 1

IdentifierTypeStateIssuer
4301110830OtherMIMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, MI, TX4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220930001926 IL Practitioner - Diagnostic Radiology 9335525427 Reassigns benefits to 2 organizations
I20230525003510 FL Practitioner - Diagnostic Radiology 9335525427 Reassigns benefits to 6 organizations
I20241029003998 MI Practitioner - Diagnostic Radiology 9335525427 Reassigns benefits to 5 organizations
I20260513000349 TX Practitioner - Diagnostic Radiology 9335525427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians

Practice addresses (Care Compare)

650 NE 2ND Ave
Apt 2605
Miami, FL 33132-2571
Phone (863) 902-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.25 of 100Reported as group
Quality
96.84
Promoting interoperability
100
Improvement activities
40
Cost
40.67

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
95.63
Promoting interoperability
100
Improvement activities
40
Cost
84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67000AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince Nov 4, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Bronson South Haven Hospital CurrentSince Nov 4, 2024 Accepting new patients
Bronson Lakeview Hospital CurrentSince Nov 4, 2024 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Feb 1, 2025 Accepting new patients
Bronson South Haven Hospital CurrentSince Nov 4, 2024 Accepting new patients
Bronson Methodist Hospital CurrentSince Nov 4, 2024 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Sep 1, 2024 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Nov 4, 2024 Accepting new patients
Bronson Lakeview Hospital CurrentSince Nov 4, 2024 Accepting new patients
Shi Specialists LLC CurrentSince Mar 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

3601 W 13 Mile Rd
Royal Oak, MI 48073

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1225584550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 HEATHERWOODE RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322336",
            "telephone_number": "810-449-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROVIDENCE HOSPITAL",
            "address_2": "16001 W. 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-6509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 John St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075341",
            "country_code": "US",
            "telephone_number": "269-341-7654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SUMITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301512420",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "67000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036161764",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME158022",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "287695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4301110830",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.