Organization Active NPI

Michigan Academic Hospitalist Group

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1609213032
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHIGAN ACADEMIC HOSPITALIST GROUP
Practice address
33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358
Phone
(248) 893-6610
Fax
(248) 893-6746
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Subburman Sivakumar, M.D.
Title
President / Owner
Phone
(734) 744-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358

Mailing address

33742 W 12 Mile Rd
Farmington Hills, MI 48331-3358
Phone (248) 893-6610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324000939 MI Part B Supplier - Clinic/Group Practice 9830320589 Receives reassigned benefits from 7 practitioners
Practice locations: Westland, MI; Southfield, MI; Novi, MI; Milford, MI; Livonia, MI; Plymouth, MI

National Provider Directory

National Provider Directory

Locations

33742 W 12 Mile Rd
Farmington Hills, MI 48331
Phone (248) 449-1655

28649 Joy Rd
Four Chaplains Nursing Ctr
Westland, MI 48185
Phone (734) 261-9500

Practitioners & affiliated clinicians

Practitioners 7

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": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1609213032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33742 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313358",
            "telephone_number": "248-893-6610",
            "fax_number": "248-893-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33742 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313358",
            "telephone_number": "248-893-6610",
            "fax_number": "248-893-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ACADEMIC HOSPITALIST GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "SUBBURMAN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "734-744-5010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.