Individual provider Active NPI

Somnath Chowdhury, M.D.

  • General Practice Physician
  • Livonia, MI
National Provider Identifier
1255656989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301096435 Issued in MI
Practice address
20280 Middlebelt Rd Ste 500
Livonia, MI 48152-2002
Phone
(248) 987-1270
Fax
(248) 987-1271
NPI assigned
Apr 6, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301096435 MI
General Practice Physician 208D00000X 4301096435 MI Primary

Addresses

Primary practice location

20280 Middlebelt Rd Ste 500
Livonia, MI 48152-2002

Mailing address

19161 Goldwin St
Southfield, MI 48075-7221
Phone (248) 356-0013

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
I20150120002085 MI Practitioner - Internal Medicine 6800110990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medicine PCGroup PAC ID 3971582685, 12 clinicians

Practice addresses (Care Compare)

20280 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 987-1250

9550 Dix
Dearborn, MI 48120-1529
Phone (313) 843-6375

9824 Conant St
Hamtramck, MI 48212-3309
Phone (313) 285-9766

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medicine PC Internal Medicine CurrentSince Dec 12, 2014 Accepting new patients

Locations

9550 Dix
Dearborn, MI 48120
Phone (313) 438-5158

9824 Conant St
Hamtramck, MI 48212
Phone (313) 285-9766

20280 Middlebelt Rd
Ste 500
Livonia, MI 48152
Phone (248) 987-1270

20290 Middlebelt Rd
Livonia, MI 48152
Phone (248) 987-1250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16805/brand/1/csg/1/fhir/r4
  • Direct secure messaging: somnath.chowdhury.1@16805.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255656989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19161 GOLDWIN ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757221",
            "telephone_number": "248-356-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 MIDDLEBELT RD STE 500",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522002",
            "telephone_number": "248-987-1270",
            "fax_number": "248-987-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "SOMNATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301096435",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301096435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.