Sandra L Molteni, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101027527 Issued in MI

Practice address

20001 W 7 Mile Rd
Detroit, MI 48219-3403

Phone

(313) 794-5111

Fax

(313) 794-5153

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smolteni990040@direct.hfhs.org
• Direct secure messaging: sandramolteni@achs.medalliesdirect.net

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.

• Dedicated Physicians Group of Michigan, PLLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1992392393

  MI

  Medicare reassignment NPD
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD (past)
• Cottage Hospital

  • Critical Access Hospital
  • Woodsville, NH
  • NPI 1528162799
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1275972127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTENI",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "63536-21",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "032.0133880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "21790",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kiely Molina-Duarte, LLMSW
• Guido Mariano Molina-Pallete, MD
• D'Arcy Ann Molloy
• Mark Molnar, MD
• Juliana Mary Molosky, MD
• Kathleen C Moltz, MD
• Mom'S Healing Hands, LLC
• Glenn Momeyer, L.B.S.W.
• Suhael Momin, MD
• Mommyumllc

• All providers in Detroit, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.

Verify at the official NPI Registry.