Individual provider Active NPI

Surendra Kumar, OCCUPATIONAL THERAPY

  • Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1568640316
Registry record updated Feb 4, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 19, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005794 Issued in MI
Practice address
38393 Churchill LN
Farmington Hills, MI 48331-3775
Phone
(248) 802-9090
Fax
(313) 274-1244
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201005794 MI Primary

Addresses

Primary practice location

38393 Churchill LN
Farmington Hills, MI 48331-3775

Mailing address

38393 Churchill LN
Farmington Hills, MI 48331-3775
Phone (248) 802-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5201005794MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Rehab Services,Inc Occupational Therapist PastSince Oct 29, 2007 Accepting new patients
Kinetic Rehab Plus, Inc. Occupational Therapist PastSince Dec 2, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1568640316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38393 CHURCHILL LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313775",
            "telephone_number": "248-802-9090",
            "fax_number": "313-274-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38393 CHURCHILL LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313775",
            "telephone_number": "248-802-9090",
            "fax_number": "313-274-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SURENDRA",
        "name_prefix": "Mr.",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.