Denwit Sumetanon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301033125 Issued in MI

Practice address

3413 McDougall
Detroit, MI 48207

Phone

(313) 568-1010

Fax

(313) 568-1016

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639264013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 MCDOUGALL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-568-1010",
            "fax_number": "313-568-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 MCDOUGALL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-568-1010",
            "fax_number": "313-568-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMETANON",
        "first_name": "DENWIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301033125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Sullivan, M.D.
• Sean Patrick Sullivan, MD
• Nasreen Sultana, P.A.
• Sayeeda M Sultana, MD
• Zakia Sultana, DPM
• Delana Rae Sumler
• Tonee Rebecka Sumlin
• Jacquelyn Diane Summerlin
• Gwendolyn Michelle Summers
• Summit of Detroit, P.C.

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.