NPIMap

Individual provider Active NPI

Sudhir V Lingnurkar, MD

  • Psychiatry Physician
  • Warren, MI
National Provider Identifier
1316905102
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301052185 Issued in MI
Practice address
11885 E 12 Mile Rd
Suite 201a
Warren, MI 48093-3474
Phone
(586) 558-6000
Fax
(586) 558-6679
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301052185 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd
Suite 201a
Warren, MI 48093-3474

Mailing address

11885 E 12 Mile Rd
Suite 201a
Warren, MI 48093-3474
Phone (586) 558-6000

Other identifiers 1

IdentifierTypeStateIssuer
3335730MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000691 MI Practitioner - Psychiatry 8325194491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Center PCGroup PAC ID 3971659046, 3 clinicians

Practice addresses (Care Compare)

11885 E 12 Mile Rd
Suite 201a
Warren, MI 48093-3469
Phone (586) 558-6000

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301

Merit-based Incentive Payment System (MIPS)

Final score
97.29 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
73.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir Lingnurkar MD PLC Psychiatry CurrentSince Apr 1, 2013 Accepting new patients
Comprehensive Counseling Center PC CurrentSince Jul 1, 2001 Accepting new patients
Santosh Rastogi MD PC Psychiatry Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

3011 W Grand Blvd
Ste 1710
Detroit, MI 48202
Phone (313) 872-6336

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11885 E 12 Mile Rd
Ste 204A
Warren, MI 48093
Phone (586) 558-6000

11885 E 12 Mile Rd
Ste 201A
Warren, MI 48093
Phone (586) 558-6000

Interoperability endpoints

  • Direct secure messaging: slingnurkar1139309@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8e77b480-944d-4d4a-a93e-e5a9fd83d5c6/

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1316905102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "SUITE 201A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-558-6000",
            "fax_number": "586-558-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "SUITE 201A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-558-6000",
            "fax_number": "586-558-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGNURKAR",
        "first_name": "SUDHIR",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301052185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3335730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.