Individual provider Active NPI

Dhananjay Kumar, MD

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1669461075
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5315016412 Issued in MI
Practice address
37595 7 Mile Rd
Suite 240
Livonia, MI 48152-1003
Phone
(734) 432-7713
Fax
(734) 432-7774
NPI assigned
Oct 18, 2005
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5315016412 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd
Suite 240
Livonia, MI 48152-1003

Mailing address

26850 Providence Pkwy
Ste 370
Novi, MI 48374-1262
Phone (248) 465-4160

Other identifiers 1

IdentifierTypeStateIssuer
452075110MedicaidMI

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
I20110218000856 MI Practitioner - Internal Medicine 9234310525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

26850 Providence Pkwy
Suite 370
Novi, MI 48374-1262
Phone (248) 465-4160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315016412MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675

37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282

26850 Providence Pkwy
Ste 370
Novi, MI 48374
Phone (248) 465-4160

Interoperability endpoints

  • Direct secure messaging: dkumar57916@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1669461075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "STE 370",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741262",
            "telephone_number": "248-465-4160",
            "fax_number": "248-465-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD",
            "address_2": "SUITE 240",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "734-432-7713",
            "fax_number": "734-432-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DHANANJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5315016412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452075110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.