Active NPI
Sudha Nannapaneni, MD
- Internal Medicine Physician
- Roseville, MI
National Provider Identifier
1720166713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301070308
- Practice address
- 18285 Ten Mile
120
Roseville, MI 48066-5806 - Phone
- (586) 771-4830
- Fax
- (586) 771-3115
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301070308 | MI | Primary |
Addresses
Primary practice location
18285 Ten Mile
120
Roseville, MI 48066-5806
Mailing address
18285 Ten Mile
120
Roseville, MI 48066-5806
Phone (586) 771-4830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105010442 | Other | MI | BCBS |
| 4290526 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18285 E 10 Mile Rd
Suite 120
Roseville, MI 48066-5806
Phone (586) 771-4830
Hospital & facility affiliations
- Compassus Home Health
- Beaumont Home Health
- Residential Home Health
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital Royal Oak
- Henry Ford Health St John Hospital
- Beaumont Hospital, Troy
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudha Nannapaneni MD PLLC | Internal Medicine | Current | Accepting new patients |
Locations
18285 E 10 Mile Rd
Ste 120
Roseville, MI 48066
Phone (586) 771-4830
Interoperability endpoints
- snannapaneni1248451@epic00.shdirect.org
- snannapaneni1051503@direct.hfhs.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Roseville, MI
- NPI 1437482981
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- Home Health Agency
- Warren, MI
- NPI 1295772184
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1720166713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18285 TEN MILE",
"address_2": "120",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665806",
"telephone_number": "586-771-4830",
"fax_number": "586-771-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18285 TEN MILE",
"address_2": "120",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665806",
"telephone_number": "586-771-4830",
"fax_number": "586-771-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANNAPANENI",
"first_name": "SUDHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301070308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1105010442",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4290526",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.
- 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.