NPIMap

Individual provider Active NPI

Radhika Sukumar Sheth, MD

  • Infectious Disease Physician
  • Jakcson, MI
National Provider Identifier
1285296343
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301510680 Issued in MI
Practice address
205 N. East Ave.
Gme - 2ND Floor Cab
Jakcson, MI 49201-1753
Phone
(517) 205-7147
Fax
(517) 205-7050
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc. 476 clinicians

Practice addresses (Care Compare)

2200 Springport Rd
Suite 500
Jackson, MI 49202-1432
Phone (517) 205-2111

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240522001848 MI Practitioner - Internal Medicine 9739555483 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510680MIMDInfectious Disease Physician
4351045289MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc. Infectious Disease CurrentSince May 14, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince May 14, 2024 Accepting new patients
Henry Ford Pathology Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

205 N East Ave
Fl 2
Jackson, MI 49201
Phone (517) 205-7060

2200 Springport Rd
Ste 500
Jackson, MI 49202
Phone (517) 205-2111

Interoperability endpoints

  • Direct secure messaging: rsheth597073@direct.hfhs.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301510680 MI
Student in an Organized Health Care Education/Training Program 390200000X 4351045289 MI
Infectious Disease Physician 207RI0200X 4301510680 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

205 N. East Ave.
Gme - 2ND Floor Cab
Jakcson, MI 49201-1753

Mailing address

205 N. East Ave.
Gme - 2ND Floor Cab
Jakcson, MI 49201-1753
Phone (517) 205-7147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2024.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1285296343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N. EAST AVE.",
            "address_2": "GME - 2ND FLOOR CAB",
            "city": "JAKCSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-7147",
            "fax_number": "517-205-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N. EAST AVE.",
            "address_2": "GME - 2ND FLOOR CAB",
            "city": "JAKCSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-7147",
            "fax_number": "517-205-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "RADHIKA",
        "middle_name": "SUKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301510680",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351045289",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301510680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.