Individual provider Active NPI

Dee Kuldip Sehgal, DOCTOR OF AUDIOLOGY

  • Audiologist
  • Commerce Township, MI
National Provider Identifier
1477670180
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000248 Issued in MI
Practice address
2900 Union Lake Rd
Suite 130
Commerce Township, MI 48382-3500
Phone
(248) 360-4327
Fax
(248) 360-5377
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000248 MI Primary

Addresses

Primary practice location

2900 Union Lake Rd
Suite 130
Commerce Township, MI 48382-3500

Mailing address

2900 Union Lake Rd
Suite 130
Commerce Township, MI 48382-3500
Phone (248) 360-4327

Other identifiers 3

IdentifierTypeStateIssuer
904625207MedicaidMI
54OF323180OtherMIBLUE CARE NETWORK
540F323180OtherMIBCBS OF MI HEARING AID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211001033 MI Practitioner - Qualified Audiologist 8123924891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 Union Lake Rd
Suite 100
Commerce Township, MI 48382-3550
Phone (248) 360-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000248MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Hearing LLC CurrentSince Sep 3, 2023 Accepting new patients

Locations

2900 Union Lake Rd
Ste 100
Commerce Twp, MI 48382
Phone (248) 360-4327

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1477670180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 130",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-360-4327",
            "fax_number": "248-360-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 130",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-360-4327",
            "fax_number": "248-360-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHGAL",
        "first_name": "DEE",
        "middle_name": "KULDIP",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF AUDIOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904625207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "54OF323180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI  HEARING AID",
            "identifier": "540F323180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.