Individual provider Active NPI

Sanjay N Lakhani, MD

  • General Practice Physician
  • Highland Park, MI
National Provider Identifier
1700962446
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301064005 Issued in MI
Practice address
13111 Woodward Ave
Highland Park, MI 48203-3781
Phone
(313) 866-6666
Fax
(313) 866-6661
NPI assigned
Oct 27, 2006
Last updated
Mar 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301064005 MI
General Practice Physician 208D00000X 4301064005 MI Primary

Addresses

Primary practice location

13111 Woodward Ave
Highland Park, MI 48203-3781

Mailing address

13111 Woodward Ave
Highland Park, MI 48203-3781
Phone (313) 866-6666

Other identifiers 15

IdentifierTypeStateIssuer
G65330OtherMIPPOM
P94905OtherMIBLUE CARE NETWORK
091754OtherMIAETNA
49874OtherMIOMNICARE HEALTH PLAN
5810296002OtherMICIGNA
3508261242OtherMIBCBSM
G65330OtherMIGREAT WEST
103425OtherMIGREAT LAKES HEALTH PLAN
4253620OtherMIMOLINA HEALTH CARE OF MI
001421OtherMIMIDWEST HEALTH PLAN
G65330OtherMIHEALTH ALLIANCE PLAN
018036OtherMIDMC CARE
104343281MedicaidMI
557-1OtherMITOTAL HEALTH CARE
G65330OtherMIUNITED HEALTH CARE

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
I20120804000086 MI Practitioner - General Practice 8729234992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13111 Woodward Ave
Highland Park, MI 48203-3781

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064005MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Lakhani MD PC Current Accepting new patients
Sanjay Lakhani MD PC Pediatrics CurrentSince Dec 15, 2000 Accepting new patients

Locations

13111 Woodward Ave
Highland Park, MI 48203
Phone (313) 865-2800

Interoperability endpoints

  • Direct secure messaging: slakhani@direct.dmc.org
  • Direct secure messaging: slakhani@hphc.adaptamed.direct-ci.com
  • Direct secure messaging: slakhani@slmdpc.adaptamed.direct-ci.com
  • Direct secure messaging: slakhani986451@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1700962446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033781",
            "telephone_number": "313-866-6666",
            "fax_number": "313-866-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033781",
            "telephone_number": "313-866-6666",
            "fax_number": "313-866-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHANI",
        "first_name": "SANJAY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301064005",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301064005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "G65330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P94905",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "091754",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE HEALTH PLAN",
            "identifier": "49874",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5810296002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "3508261242",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "G65330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "103425",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE OF MI",
            "identifier": "4253620",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "001421",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "G65330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC CARE",
            "identifier": "018036",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104343281",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "557-1",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "G65330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

Verify at the official NPI Registry.