Kuldip S Deogun, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301041483 Issued in MI

Practice address

43145 Schoenherr Rd
Unit #13
Sterling Heights, MI 48313-1955

Phone

(586) 997-5048

Fax

(586) 997-5049

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Interventional Pain Management

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kuldip S Deogun MD PCGroup PAC ID 3678580966, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.51 of 100Reported as group

Quality

49.15

Improvement activities

40

Cost

79.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdeogun1125005@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.

• Kuldip S. Deogun, MD, PC

  • Interventional Pain Medicine Physician
  • Sterling Heights, MI
  • NPI 1548207467
  Medicare reassignment Care Compare group NPD Authorized official
• Pain Clinic Management Group, PLLC

  • Interventional Pain Medicine Physician
  • Sterling Heights, MI
  • NPI 1225302821
  Medicare reassignment NPD
• Critical Care Surgeons PLLC

  • Trauma Surgery Physician
  • Detroit, MI
  • NPI 1710213731
  NPD (past)
• United Pain Therapies PLLC

  • Interventional Pain Medicine Physician
  • Canton, MI
  • NPI 1427483403

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1346288750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440047",
            "telephone_number": "248-543-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43145 SCHOENHERR RD",
            "address_2": "UNIT #13",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131955",
            "telephone_number": "586-997-5048",
            "fax_number": "586-997-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOGUN",
        "first_name": "KULDIP",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301041483",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301041483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0505018431",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4840071-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5836031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simona Denkovski, FNP-BC
• Dennis Ortman PHD, P.C.
• Trevor Dennis, PA-C
• Dental Charms, PLLC (Dental Charms)
• Dental One Care
• Depenable & Reliable Day Care
• Dependable Health Management
• Mark F Deprez, MD
• Damini Desai
• Roshni Sudhir Desai, PA-C

• Interventional Pain Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.