Individual provider Active NPI

Sailakshmi Sekar

  • Speech-Language Pathologist
  • Detroit, MI
National Provider Identifier
1295598464
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008202 Issued in MI
Practice address
695 E Grand Blvd
Detroit, MI 48207-2525
Phone
(313) 925-6655
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101008202 MI Primary

Addresses

Primary practice location

695 E Grand Blvd
Detroit, MI 48207-2525

Mailing address

41854 Metaline Dr
Canton, MI 48187-3892
Phone (734) 892-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203001167 MI Practitioner - Qualified Speech Language Pathologist 7911432752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101008202MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi East, Inc. CurrentSince Nov 25, 2024 Accepting new patients

Locations

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1295598464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41854 METALINE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873892",
            "telephone_number": "734-892-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072525",
            "telephone_number": "313-925-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKAR",
        "first_name": "SAILAKSHMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008202",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.