Individual provider Active NPI

Nasser Sukhon, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1497753263
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301059178 Issued in MI
Practice address
3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3208
Phone
(734) 761-2900
Fax
(734) 761-5283
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301059178 MI Primary

Addresses

Primary practice location

3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3208

Mailing address

3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3208
Phone (734) 761-2900

Other identifiers 1

IdentifierTypeStateIssuer
4787967MedicaidMI

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
I20051006000214 MI Practitioner - Internal MedicinePractitioner - General Practice 0941225296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3222
Phone (734) 761-2900

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nasser Sukhon,M.D,P.C Current Accepting new patients
Naser N Sukhon MD PC Internal Medicine CurrentSince Aug 9, 2005 Accepting new patients

Locations

3055 Plymouth Rd
Ste 107
Ann Arbor, MI 48105
Phone (734) 761-2900

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1497753263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208",
            "telephone_number": "734-761-2900",
            "fax_number": "734-761-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208",
            "telephone_number": "734-761-2900",
            "fax_number": "734-761-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHON",
        "first_name": "NASSER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4787967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.