Individual provider Active NPI

Sheela Madipelli

  • Pediatrics Physician
  • Sterling Heights, MI
National Provider Identifier
1316100217
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301092508 Issued in MI
Practice address
41400 Dequindre Rd
Suite 121
Sterling Heights, MI 48314-3763
Phone
(734) 218-6980
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301092508 MI Primary

Addresses

Primary practice location

41400 Dequindre Rd
Suite 121
Sterling Heights, MI 48314-3763

Mailing address

41400 Dequindre Rd
Suite 121
Sterling Heights, MI 48314-3763
Phone (734) 218-6980

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130827000741 MI Practitioner - Pediatric Medicine 6204079056 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092508MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Pediatrics Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 1, 2013 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2013 Accepting new patients
Henry Ford Macomb Hospital Corporation Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

3601 W 13 Mile Rd
Royal Oak, MI 48073

Interoperability endpoints

  • Direct secure messaging: smadipelli203454@direct.hfhs.org

Organizations & group practices 8

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1316100217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "SUITE 121",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "734-218-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "SUITE 121",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "734-218-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIPELLI",
        "first_name": "SHEELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301092508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.