Sudha R Damidi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301089171 Issued in MI

Practice address

168 N Caseville Rd
Pigeon, MI 48755-9415

Phone

(989) 453-2141

Fax

(989) 453-2559

NPI assigned

Jan 26, 2007

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdamidi147284@direct.covenanthealthcare.com

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.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment NPD
• Henry Ford Health System

  dba Hnery Ford Health Sysytem

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1003990318
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Flint Children's Center, PC

  • Pediatrics Physician
  • Flint, MI
  • NPI 1639383110
  NPD (past)
• Northpointe Pediatrics PC

  dba Brian T Engel MD

  • Non-Pharmacy Dispensing Site
  • Warren, MI
  • NPI 1730124934
  NPD (past)
• Northpointe Pediatrics, P.C.

  • Pediatrics Physician
  • Warren, MI
  • NPI 1255439295
  NPD (past)
• Scheurer Hospital

  dba Scheurer Health

  • Critical Access Hospital
  • Pigeon, MI
  • NPI 1437102993
  NPD (past)
• Scheurer Hospital

  dba Scheurer Primary Care - Pigeon

  • Rural Health Clinic/Center
  • Pigeon, MI
  • NPI 1982774758
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1407902869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559415",
            "telephone_number": "989-453-2141",
            "fax_number": "989-453-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559415",
            "telephone_number": "989-453-2141",
            "fax_number": "989-453-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIDI",
        "first_name": "SUDHA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301089171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Booms, F.N.P.
• Karen Buck, NP
• Douglas Arthur Buehler, O.D.
• Liberty Hope Cloutier
• Donna M Corder, MD
• Sheena Lynn Damm, FNP-BC
• Julia Elaine Deer, D.C.
• Barbara Lynn Doran, RPH
• Sity Milad Girgis, M.D.
• H & J Corp. (Rose Garden Senior Living)

• Pediatrics Physician in Pigeon, MI
• Providers in Pigeon, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.