Individual provider Active NPI

Sumaiya Fatima Khaja, MD

  • Infectious Disease Physician
  • Sterling Heights, MI
National Provider Identifier
1629620794
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301511779 Issued in MI
Practice address
43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone
(888) 220-6432
Fax
(630) 654-4253
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301511779 MI Primary
Internal Medicine Physician 207R00000X 125075205 IL

Addresses

Primary practice location

43134 Dequindre Rd
Sterling Heights, MI 48314-1723

Mailing address

271 Knoxbury CT
Gurnee, IL 60031-6224
Phone (416) 625-2463

Other practice location 1

3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (416) 625-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240627004139 MI Practitioner - Infectious Disease 1759825011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone (586) 446-8688

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Clinton Township, MI, CCN 237172
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125075205ILMDInternal Medicine Physician
4301511779MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Jun 20, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Jun 20, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

19991 Hall Rd
Ste 105
Macomb, MI 48044
Phone (586) 247-8609

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

Interoperability endpoints

  • Direct secure messaging: sumaiya.khaja.1@19711.direct.athenahealth.com
  • Direct secure messaging: skhaja951608@direct.hfhs.org

Organizations & group practices 3

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 9

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1629620794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 KNOXBURY CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600316224",
            "telephone_number": "416-625-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43134 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141723",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "416-625-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAJA",
        "first_name": "SUMAIYA",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301511779",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125075205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.