Individual provider Active NPI

Judy A Sorovetz, DO

  • Internal Medicine Physician
  • Brownstown, MI
National Provider Identifier
1235137803
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013887 Issued in MI
Practice address
29159 Helman Blvd
Brownstown, MI 48183-7003
Phone
(734) 671-5100
Fax
(734) 671-7664
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101013887 MI Primary

Addresses

Primary practice location

29159 Helman Blvd
Brownstown, MI 48183-7003

Mailing address

29159 Helman Blvd
Brownstown, MI 48183-7003
Phone (734) 671-5100

Other identifiers 1

IdentifierTypeStateIssuer
4323064MedicaidMI

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
I20050117000356 MI Practitioner - Internal Medicine 1355390329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Internal Medicine PLLCGroup PAC ID 0345299319, 2 clinicians

Practice addresses (Care Compare)

29159 Helman Blvd
Brownstown, MI 48183-7003
Phone (734) 671-5100

Hospital & facility affiliations

  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Internal Medicine PLLC Internal Medicine CurrentSince Sep 4, 2001 Accepting new patients

Locations

29159 Helman Blvd
Trenton, MI 48183
Phone (734) 379-3156

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJCADA/Endpoint/EJCADA

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1235137803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29159 HELMAN BLVD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481837003",
            "telephone_number": "734-671-5100",
            "fax_number": "734-671-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29159 HELMAN BLVD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481837003",
            "telephone_number": "734-671-5100",
            "fax_number": "734-671-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROVETZ",
        "first_name": "JUDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4323064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.