Nanjappa C Sadasivan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301033633 Issued in MI

Practice address

2333 Biddle Avenue
Wyandotte, MI 48192

Phone

(734) 677-7400

Fax

(734) 677-7407

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Diagnostic Radiology

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ain Imaging PLCGroup PAC ID 1355513003, 15 clinicians

NDS Radiology PLLCGroup PAC ID 2062408875, 15 clinicians

VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Midwest Diagnostic Imaging IncGroup PAC ID 3274597158, 3 clinicians

Lapeer Medical Diagnostics PCGroup PAC ID 9133359599, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nsadasivan63243@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.

• Ain Imaging PLC

  • Diagnostic Neuroimaging (Radiology) Physician
  • Farmington Hills, MI
  • NPI 1437441714

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Lapeer Medical Diagnostics PC

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1316376858
  Medicare reassignment Care Compare group NPD
• Midwest Diagnostic Imaging, Inc

  • Diagnostic Radiology Physician
  • Waterford, MI
  • NPI 1538178934
  Medicare reassignment Care Compare group NPD
• NDS Radiology Inc.

  dba National Diagnostic Services

  • Diagnostic Radiology Physician
  • Novi, MI
  • NPI 1649418211
  Medicare reassignment Care Compare group NPD
• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540
  Medicare reassignment Care Compare group NPD
• Henry Ford Health St. John Hospital

  dba St John North Shores Hospital

  • Podiatrist
  • Harrison Township, MI
  • NPI 1043478910
  Medicare reassignment NPD
• Henry Ford Health St. John Hospital

  dba Henry Ford St John Hospital

  • Multi-Specialty Clinic/Center
  • Detroit, MI
  • NPI 1457663197

  Diagnostic Radiology

  NPD
• Shores Diagnostic LLC

  dba Shores Diagnostic Pllc

  • Radiology Clinic/Center
  • Warren, MI
  • NPI 1235110289
  NPD
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD
• Genesys Regional Medical Center

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1134152226
  NPD (past)
• NDS Radiology PLLC

  dba National Diagnostic Services

  • Clinic/Center
  • Novi, MI
  • NPI 1548259948
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1386609444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTN: BARB SIMMONS",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE AVENUE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADASIVAN",
        "first_name": "NANJAPPA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301033633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "3009503251",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN NBR",
            "identifier": "B45247",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0996742",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "119545",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1680573",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN OF MI",
            "identifier": "3009503251",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00060426",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11293247",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ULTIMED ID NBR",
            "identifier": "321192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard K Rosenstein, MD
• Konstantin Rosich, DO
• Michael Joseph Rozanski, P.T.
• Zhanna Rozenberg
• Nancy Sabal, D.O.
• Rafi Saleem
• Sami M Baraka MD PC
• Ramsha Samra
• Eileen Ayres Sarb, M.A.
• Peter Sawabini, ACNP

• Diagnostic Radiology Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.