Internal Medicine Assoc of Mi PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOC OF MI PC

Practice address

15105 Northline Rd
Southgate, MI 48195-2409

Phone

(734) 282-7734

Fax

(734) 282-7577

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Jagdish Sachdeva, M.D.NPI 1295891067

Title

Owner

Phone

(734) 282-7734

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdish Kumar Sachdeva, MD

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1295891067
  Medicare reassignment Care Compare group NPD Authorized official
• Arpan Bhakta, MD

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1598822520
  Medicare reassignment Care Compare group NPD
• Rohit Verma, MD

  • Internal Medicine Physician
  • Brownstown TWP, MI
  • NPI 1457390213
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1720109499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952409",
            "telephone_number": "734-282-7734",
            "fax_number": "734-282-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952409",
            "telephone_number": "734-282-7734",
            "fax_number": "734-282-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOC OF MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SACHDEVA",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-282-7734",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4164914",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ismail B. Sendi, MD PC
• J&E Ressidential Properties LLC
• J&J Home Medical Equipment
• Felicia Jackson-Davis

• Internal Medicine Physician in Southgate, MI
• Providers in Southgate, 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 Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.