Individual provider Active NPI

Jeffrey Alan Sendi, DO

  • Emergency Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1730167800
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101011688 Issued in MI
Practice address
42669 Garfield Rd
Emergency Medicine Department
Clinton TWP, MI 48038-5036
Phone
(586) 412-5321
Fax
(586) 412-5327
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101013688 MI
Emergency Medicine Physician 207P00000X 5101011688 MI Primary
Emergency Medicine Physician 207P00000X 0102202280 VA

Addresses

Primary practice location

42669 Garfield Rd
Emergency Medicine Department
Clinton TWP, MI 48038-5036

Mailing address

6549 Town Center Dr
Credentialing/Payer Contracting Services
Clarkston, MI 48346-4824
Phone (248) 620-6400

Other identifiers 1

IdentifierTypeStateIssuer
1730167800MedicaidMI

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
I20040108000893 MI Practitioner - Emergency Medicine 9436058328 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians
Caberfae Emergency Group PCGroup PAC ID 4082069232, 39 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

Hospital & facility affiliations

  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011688MIMDEmergency Medicine Physician
5101013688MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Dec 13, 2023 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Apr 2, 2012 Accepting new patients
Internal Medicine Solutions PLLC CurrentSince Feb 1, 2021 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Apr 2, 2012 Accepting new patients
Professional Emergency Care, PC Emergency Medicine PastSince Nov 1, 2007 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

6549 Town Center Dr
Clarkston, MI 48346
Phone (248) 620-6400

42669 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-5321

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

2300 Jolly Oak Rd
Okemos, MI 48864
Phone (517) 679-2050

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1730167800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR",
            "address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400",
            "fax_number": "248-620-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42669 GARFIELD RD",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385036",
            "telephone_number": "586-412-5321",
            "fax_number": "586-412-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDI",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101013688",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011688",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102202280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730167800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.