Individual provider Active NPI

Abhilasha Pandey, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Troy, MI
National Provider Identifier
1598053415
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301098903 Issued in MI
Practice address
1380 Coolidge Hwy Ste 220
Troy, MI 48084-7068
Phone
(248) 825-3764
Fax
(833) 391-2161
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301098903 MI Primary
Internal Medicine Physician 207R00000X 4301098903 MI

Addresses

Primary practice location

1380 Coolidge Hwy Ste 220
Troy, MI 48084-7068

Mailing address

755 W Big Beaver Rd
Ste 2020
Troy, MI 48084-4925
Phone (248) 825-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151113001373 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 0941510366 Reassigns benefits to 3 organizations
I20171107000347 NY Practitioner - Internal Medicine 0941510366

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Practice addresses (Care Compare)

22255 Greenfield Rd
Suite 400
Southfield, MI 48075-3734
Phone (248) 849-4880

755 W Big Beaver Rd
Suite 2020
Troy, MI 48084-4925

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290738NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Oct 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Ally Endocrinology PLLC CurrentSince Jun 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Michigan Medical Doctors PLLC Internal Medicine CurrentSince Jul 18, 2022 Accepting new patients

Locations

47601 Grand River Ave
Ste A218
Novi, MI 48374
Phone (248) 380-0970

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Ste 400
Southfield, MI 48075
Phone (248) 849-4880

6043 19 Mile Rd
Sterling Hts, MI 48314
Phone (248) 844-4550

755 W Big Beaver Rd
Ste 2020
Troy, MI 48084
Phone (248) 667-8885

1380 Coolidge Hwy
Ste 220
Troy, MI 48084
Phone (248) 677-2000

1380 Coolidge Hwy
Ste 100
Troy, MI 48084
Phone (248) 288-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24740/brand/1/csg/1/fhir/r4
  • Direct secure messaging: abhilasha.pandey.1@24740.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1598053415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD",
            "address_2": "STE 2020",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844925",
            "telephone_number": "248-825-3764",
            "fax_number": "833-391-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY STE 220",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847068",
            "telephone_number": "248-825-3764",
            "fax_number": "833-391-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "ABHILASHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301098903",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.