Organization Active NPI

Sterling Medical and Pain Center, PLLC

  • Primary Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1477907657
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301039441 Issued in MI
Legal business name
STERLING MEDICAL AND PAIN CENTER, PLLC
Practice address
4100 Woodward Ave Ste 2
Detroit, MI 48201-2197
Phone
(248) 990-4728
Fax
(313) 831-0020
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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

Authorized official

Name
Dr. Anjali Kumar, MDNPI 1902988942
Title
President
Phone
(313) 831-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X 4301039441 MI Primary
Pain Clinic/Center 261QP3300X MI

Addresses

Primary practice location

4100 Woodward Ave Ste 2
Detroit, MI 48201-2197

Mailing address

4100 Woodward Ave Ste 2
Detroit, MI 48201-2197
Phone (248) 990-4728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501002596 MI Part B Supplier - Clinic/Group Practice 8729342670 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

4160 John R St
Ste 521
Detroit, MI 48201
Phone (313) 831-1166

4100 Woodward Ave
Ste 2
Detroit, MI 48201
Phone (248) 990-4728

38300 Van Dyke Ave
Ste 106B
Sterling Heights, MI 48312

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702080000000",
    "number": "1477907657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012197",
            "telephone_number": "248-990-4728",
            "fax_number": "313-831-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012197",
            "telephone_number": "248-990-4728",
            "fax_number": "313-831-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING MEDICAL AND PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-831-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301039441",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.