Active NPI
Yongyuth Senlamai, MD
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1275544058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301031580
- Practice address
- 3413 McDougall Avenue
Detroit, MI 48207 - Phone
- (313) 568-1010
- Fax
- (313) 568-1559
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301031580 | MI | Primary |
Addresses
Primary practice location
3413 McDougall Avenue
Detroit, MI 48207
Mailing address
3413 McDougall Avenue
Detroit, MI 48207
Phone (313) 568-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121990 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802000980 | MI | Order and Referring Only - Internal Medicine | 1951473370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301031580 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275544058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 MCDOUGALL AVENUE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48207",
"telephone_number": "313-568-1010",
"fax_number": "313-568-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 MCDOUGALL AVENUE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48207",
"telephone_number": "313-568-1010",
"fax_number": "313-568-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENLAMAI",
"first_name": "YONGYUTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301031580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2121990",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
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- Seniors Plus Case Management Mentoring and Development Corporation
- Kevin Steven Senko, CRNA
- Matthew Scott Sennott
- Serkan Alex Senol, MD
- Sensational Dental, PC
- Ashley Sentell, DNP, APRN, AGACNP-BC
- Uma Senthilkumar, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.