Active NPI
Satish R Khanzode, M.D.
- Family Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301062464
- Practice address
- 20720 Plymouth Rd
Detroit, MI 48228-1275 - Phone
- (313) 493-4330
- Fax
- (313) 493-4419
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301062464 | MI | Primary |
Addresses
Primary practice location
20720 Plymouth Rd
Detroit, MI 48228-1275
Mailing address
27774 Franklin Rd
Southfield, MI 48034-2352
Phone (248) 356-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4600389-10 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25880 Outer Dr
Lincoln Park, MI 48146-1553
Phone (313) 389-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VPS of Mi PLLC | Family Medicine | Current | Accepting new patients |
| University Family Physicians | Family Medicine | Past | Accepting new patients |
| Harsha P Jayatilake MD PLLC | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past | Accepting new patients | |
| Warren Urgent Care PC | Past | Accepting new patients |
Locations
14825 W McNichols Rd
Detroit, MI 48235
Phone (313) 838-7900
31500 W 13 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 509-4070
25880 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-9410
Organizations & group practices 5
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.
-
dba Visiting Physician Services
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1164873691
-
- Specialist
- Livonia, MI
- NPI 1114134020
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1790967339
-
- Family Medicine Physician
- Detroit, MI
- NPI 1346374097
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1255513891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1275505695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27774 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342352",
"telephone_number": "248-356-5555",
"fax_number": "248-356-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20720 PLYMOUTH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482281275",
"telephone_number": "313-493-4330",
"fax_number": "313-493-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANZODE",
"first_name": "SATISH",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301062464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4600389-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.