Active NPI
Sushmitha Meghashyam, M.D
- Student in an Organized Health Care Education/Training Program
- Detriot, MI
National Provider Identifier
1538734611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Children's Hospital Michigan
3901 Beaubien Street
Detriot, MI 48201 - Phone
- (313) 745-5437
- NPI assigned
- May 21, 2021
- Last updated
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Children's Hospital Michigan
3901 Beaubien Street
Detriot, MI 48201
Mailing address
DMC, Gme Office 4201 St. Antoine
Uhc- 9C
Detroit, MI 48201
Phone (313) 745-5146
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211210000273 | MI | Order and Referring Only - Pediatric Medicine | 8426448226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1538734611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DMC, GME OFFICE 4201 ST. ANTOINE",
"address_2": "UHC- 9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5146",
"fax_number": "313-966-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S HOSPITAL MICHIGAN",
"address_2": "3901 BEAUBIEN STREET",
"city": "DETRIOT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGHASHYAM",
"first_name": "SUSHMITHA",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detriot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.