Individual provider Active NPI

Prameela N Patel, MD

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1457334161
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301078853 Issued in MI
Practice address
43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1951
Phone
(586) 726-4823
Fax
(586) 726-8365
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301078853 MI Primary

Addresses

Primary practice location

43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1951

Mailing address

43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1951
Phone (586) 726-4823

Other names 1

  • Prameela Nagaraju Former name

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
I20051001000051 MI Practitioner - Family Practice 6901857150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Pine Medical Group PLCGroup PAC ID 8325020332, 39 clinicians

Practice addresses (Care Compare)

43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1972
Phone (586) 726-4823

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301078853MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Pine Medical Group PLC Family Medicine CurrentSince Mar 26, 2007 Accepting new patients
Bayside Family Medicine Chesterfield PC Family Medicine PastSince Oct 6, 2009 Accepting new patients

Locations

31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900

36555 26 Mile Rd
Ste 2500
Lenox, MI 48048

48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044

15959 Hall Rd
Ste 110
Macomb, MI 48044

53950 Van Dyke Ave
Shelby Township, MI 48316
Phone (248) 293-0055

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712

57850 Van Dyke Rd
Ste 600
Washington, MI 48094
Phone (586) 738-9448

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

Interoperability endpoints

  • Direct secure messaging: prameelapatel@spmgsh.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1457334161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "STE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131951",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "STE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131951",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAMEELA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAMEELA",
            "last_name": "NAGARAJU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.