Organization Active NPI

Naser N Sukhon MD PC

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1598938870
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301059178 Issued in MI
Legal business name
NASER N SUKHON MD PC
Practice address
3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3208
Phone
(734) 761-2900
NPI assigned
Apr 8, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Nasser N Sukhon, M.D.NPI 1497753263
Title
President
Phone
(734) 761-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301059178 MI Primary

Addresses

Primary practice location

3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3208

Mailing address

3055 Plymouth Rd
Suite 107
Ann Arbor, MI 48105-3208
Phone (734) 761-2900

Other identifiers 1

IdentifierTypeStateIssuer
4787967MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000501 MI Part B Supplier - Clinic/Group Practice 0244253912 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory
Tax ID family
Naser N Sukhon MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5905 S Main St
Clarkston, MI 48346
Phone (248) 620-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1598938870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208",
            "telephone_number": "734-761-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208",
            "telephone_number": "734-761-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASER N SUKHON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SUKHON",
        "authorized_official_first_name": "NASSER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-761-2900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4787967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.