Individual provider Active NPI

Sushma Yarlagadda, PA

  • Physician Assistant
  • Garden City, MI
National Provider Identifier
1548648587
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007256 Issued in MI
Practice address
5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone
(734) 421-6333
Fax
(734) 421-9954
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007256 MI Primary

Addresses

Primary practice location

5823 Middlebelt Rd
Garden City, MI 48135-2459

Mailing address

5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone (734) 421-6333

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529000244 MI Practitioner - Physician Assistant 8325368566 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
River Oaks Primary Care PLLCGroup PAC ID 0749614675, 3 clinicians
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677

19000 St Joes Pkwy
Livonia, MI 48152-1477

20211 Ann Arbor TRL
Dearborn Heights, MI 48127-2691
Phone (313) 336-4444

23455 Michigan Ave
Dearborn, MI 48124-1908

29370 Plymouth Rd
Suite 100
Livonia, MI 48150-2399
Phone (734) 844-5212

29628 Southfield Rd
Southfield, MI 48076-2039
Phone (248) 621-9040

4200 Whitehall Dr
Ann Arbor, MI 48105-9694

4400 Highland Rd
Waterford, MI 48328-1222
Phone (248) 618-6000

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5789 S Main St
Clarkston, MI 48346-2959

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007256MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Sep 1, 2019 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Sep 1, 2019 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 1, 2018 Accepting new patients
Iha Health Services Corporation CurrentSince Oct 1, 2022 Accepting new patients
Iha Health Service Corporation CurrentSince Oct 1, 2022 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
America Recovery Center, PLLC PastSince Nov 1, 2017 Accepting new patients
Apollo Hospitalist Group PastSince Nov 13, 2022 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
First Choice Medical Group PLLC Past Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
River Oaks Urgent Care Family Medicine Pediatrics LLC PastSince Aug 14, 2018 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

15540 Beech Daly Rd
Redford, MI 48239
Phone (313) 387-5253

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sushma.yarlagadda.1@20203.direct.athenahealth.com
  • Direct secure messaging: sushma.yarlagadda.1@22774.direct.athenahealth.com
  • Direct secure messaging: syarlagadda2093398@direct.trinity-health.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1548648587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352459",
            "telephone_number": "734-421-6333",
            "fax_number": "734-421-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352459",
            "telephone_number": "734-421-6333",
            "fax_number": "734-421-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARLAGADDA",
        "first_name": "SUSHMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.