Active NPI
Michigan Academic Hospitalist Group
- Internal Medicine Physician
- Farmington Hills, MI
National Provider Identifier
1609213032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1073514873
-
- Medical Physician Assistant
- Southfield, MI
- NPI 1508018854
-
- Internal Medicine Physician
- Warren, MI
- NPI 1528115037
-
- Nurse Practitioner
- Detroit, MI
- NPI 1306554506
-
- Nurse Practitioner
- Farmington Hills, MI
- NPI 1609357078
-
- Acute Care Nurse Practitioner
- Ypsilanti, MI
- NPI 1841005329
-
- Family Nurse Practitioner
- Novi, MI
- NPI 1972036382
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.