NPIMap

Individual provider Active NPI

Sunil Pathak

  • Interventional Cardiology Physician
  • Saginaw, MI
National Provider Identifier
1346692217
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301511897 Issued in MI
Practice address
900 Cooper Ave Ste 4100
Saginaw, MI 48602-5182
Phone
(989) 583-4700
Fax
(989) 583-7173
NPI assigned
Jul 5, 2016
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301511897 MI
Interventional Cardiology Physician 207RI0011X 4301511897 MI Primary

Addresses

Primary practice location

900 Cooper Ave Ste 4100
Saginaw, MI 48602-5182

Mailing address

900 Cooper Ave Ste 4100
Saginaw, MI 48602-5182
Phone (989) 583-4700

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
I20240531002947 MI Practitioner - Interventional Cardiology 1658647219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

900 Cooper Ave
Suite 4100
Saginaw, MI 48602-5182
Phone (989) 583-7175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511897MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

600 N Main St
Frankenmuth, MI 48734
Phone (989) 652-1320

600 N Main St
Ste 230A
Frankenmuth, MI 48734
Phone (989) 583-4700

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

800 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

900 Cooper Ave
Ste 4100
Saginaw, MI 48602
Phone (989) 497-9395

Interoperability endpoints

  • Direct secure messaging: spathak165548@direct.covenanthealthcare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1346692217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-4700",
            "fax_number": "989-583-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-4700",
            "fax_number": "989-583-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "SUNIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301511897",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301511897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.