Individual provider Active NPI

Sylmara Evelyn Chatman, MD

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1508951633
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055117 Issued in MI
Practice address
17603 West Ten Mile Road
Southfield, MI 48075
Phone
(248) 569-8420
Fax
(248) 569-8565
NPI assigned
Oct 4, 2006
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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 055117 MI Primary

Addresses

Primary practice location

17603 West Ten Mile Road
Southfield, MI 48075

Mailing address

6689 Orchard Lake Rd
Ste 339
West Bloomfield, MI 48322-3404

Other identifiers 1

IdentifierTypeStateIssuer
3220151MedicaidMI

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
I20100416000750 MI Practitioner - Family Practice 3870629363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sylmara E. Chatman M.D. P.C.Group PAC ID 5092841577, 3 clinicians

Practice addresses (Care Compare)

17603 W 10 Mile Rd
Southfield, MI 48075-2756
Phone (248) 569-8420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055117MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Medical Specialists of Nevada, Inc Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

871 Coronado Center Dr
Ste 260
Henderson, NV 89052
Phone (702) 952-2861

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1508951633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD",
            "address_2": "STE 339",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17603 WEST TEN MILE ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-569-8420",
            "fax_number": "248-569-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "SYLMARA",
        "middle_name": "EVELYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "055117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3220151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.