Individual provider Active NPI

Harry P. Sukumaran, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Rochester Hills, MI
National Provider Identifier
1356546709
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301081997 Issued in MI
Practice address
2820 Crooks Rd Ste 100
Rochester Hills, MI 48309-3620
Phone
(248) 266-9137
Fax
(248) 710-2200
NPI assigned
Jun 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301081997 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301081997 MI Primary

Addresses

Primary practice location

2820 Crooks Rd Ste 100
Rochester Hills, MI 48309-3620

Mailing address

2820 Crooks Rd Ste 100
Rochester Hills, MI 48309-3620
Phone (248) 266-9137

Other practice location 1

1 William Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-4370

Other practice location 2

2820 Crooks Rd Ste 100
Rochester Hills, MI 48309-3620
Phone (248) 266-9137

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
I20081110000802 MI Practitioner - Pain ManagementPractitioner - Anesthesiology 7517026297 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081997MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Clinic Management Group, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Nov 1, 2015 Accepting new patients
University Physician Group Anesthesiology CurrentSince Feb 20, 2014 Accepting new patients
Ark Consulting, PLLC Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients

Locations

38500 Woodward Ave
Ste 300
Bloomfield Hills, MI 48304

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4100 John R St
#A
Detroit, MI 48201

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

46325 W Twelve Mile Rd
Ste 335
Novi, MI 48377
Phone (248) 697-2880

2820 Crooks Rd
Ste 200
Rochester Hills, MI 48309
Phone (248) 852-7484

2820 Crooks Rd
Ste 100
Rochester Hills, MI 48309
Phone (248) 266-9137

35634 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 977-7246

5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Interoperability endpoints

  • Direct secure messaging: harry.sukumaran@4299.securemail.prognocis.com
  • Direct secure messaging: hsukumar@direct.dmc.org

Organizations & group practices 4

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ark Consulting PLLC 2 clinicians
Pain Clinic Management Group PLLC 12 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-4370

2820 Crooks Rd
Suite 200
Rochester Hills, MI 48309-3671
Phone (248) 852-7484

Hospital & facility affiliations

  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

NPI Registry JSON

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1356546709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CROOKS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093620",
            "telephone_number": "248-266-9137",
            "fax_number": "248-710-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CROOKS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093620",
            "telephone_number": "248-266-9137",
            "fax_number": "248-710-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-937-4370",
            "fax_number": "248-937-4375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483093620",
            "country_code": "US",
            "telephone_number": "248-266-9137",
            "fax_number": "248-710-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUKUMARAN",
        "first_name": "HARRY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-17",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301081997",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301081997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.