Suja S Shenoy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301108579 Issued in MI

Practice address

4008 W Wackerly St
Midland, MI 48640-1800

Phone

(989) 259-7198

Fax

(989) 259-7199

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shenoy Primary Care PLLC

  • Internal Medicine Physician
  • Midland, MI
  • NPI 1811840838
  NPD Authorized official

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1316220551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486401800",
            "telephone_number": "989-259-7198",
            "fax_number": "989-259-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486401800",
            "telephone_number": "989-259-7198",
            "fax_number": "989-259-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "SUJA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301108579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talha Sheikh, DO
• Chloe Lynn Sheler
• Klarise Shell
• Lucas Michael Shelton
• Shenoy Primary Care PLLC
• James R Shepich, M.D.
• Christina Sheppard, CRNA
• Beth A Sheridan, CNP
• Madeline Aubrey Sherman
• Tammy M Sherman

• Internal Medicine Physician in Midland, MI
• Providers in Midland, 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 Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.