Kajoor Sudhakara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301060936 Issued in MI

Practice address

1675 Kingsway CT
Trenton, MI 48183-1958

Phone

(734) 676-8530

Fax

(734) 676-2319

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ksudhakara59412@direct.hfhs.org

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.

• Trenton Total Health Care Center PC

  • Internal Medicine Physician
  • Trenton, MI
  • NPI 1932270584
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295840734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831958",
            "telephone_number": "734-676-8530",
            "fax_number": "734-676-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831958",
            "telephone_number": "734-676-8530",
            "fax_number": "734-676-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDHAKARA",
        "first_name": "KAJOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3172321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Papp DO PC
• Patrick Stevens
• Perthia Stewart
• Abhishek Subash
• Suburban Healthcare Organization PLLC
• Habib Sultan, PHARM.D.
• Summer Patterson
• Susan B Chamberlain MD PC
• Susan Mithoff Quade OD PC
• David Susewitz

• Internal Medicine Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Internal Medicine Physician in Michigan

• 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.

Verify at the official NPI Registry.