Sutinderpal Judge M.D., PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301074135 Issued in MI

Legal business name

SUTINDERPAL JUDGE M.D., PC

Practice address

2550 Niles Rd
Saint Joseph, MI 49085

Phone

(269) 429-1085

Fax

(269) 429-2202

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Sutinderpal Judge, M.D.NPI 1063416642

Title

President

Phone

(269) 429-1085

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: judge.sutinderpal.001.0220010@aassj.meditab.direct-ci.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sutinderpal S. Judge, M.D.

  • Allergy & Immunology Physician
  • Saint Joseph, MI
  • NPI 1063416642
  Medicare reassignment Care Compare group Authorized official
• Rashmi Giselle D'Mello, M.D.

  • Allergy & Immunology Physician
  • Saint Joseph, MI
  • NPI 1558758052
  Medicare reassignment Care Compare group NPD
• Cherie Michelle Wilson, FNP

  • Family Nurse Practitioner
  • Berrien Springs, MI
  • NPI 1598833279
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1295883064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853270",
            "telephone_number": "269-429-1085",
            "fax_number": "269-429-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-429-1085",
            "fax_number": "269-429-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTINDERPAL JUDGE M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "SUTINDERPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-429-1085",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01079577A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301074135",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301074135",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01079577A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Judge.Sutinderpal.001.0220010@AASSJ.meditab.direct-ci.com",
            "affiliation": "N",
            "address_1": "2550 Niles Rd",
            "city": "Saint Joseph",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sunset Coast Anesthesia Associates PC
• Neethi Sural, M.D.
• Surgical Specialists of St. Joseph, P.C.
• Alyssa A Sussdorf
• Jared Sustad, DO
• Madeline Svec
• Auburn Skakle Swainston
• Richard T. Swanson, M.D.
• Justin Tyler Sybesma, M.D.
• Renata Sykula

• Allergy & Immunology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.