Active NPI
Suneel Kumar Pigilam
- Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010265
- Practice address
- 1722 Shaffer St
Kalamazoo, MI 49048-1633 - Phone
- (269) 381-3963
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 5601010265 | MI | Primary |
Addresses
Primary practice location
1722 Shaffer St
Kalamazoo, MI 49048-1633
Mailing address
1722 Shaffer St
Kalamazoo, MI 49048-1633
Other practice location 1
1280 E Campus Dr
Mount Pleasant, MI 48858-3803
Phone (517) 488-3239
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Central Michigan College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165
215 E Mansion St
1H Borgess Neurology
Marshall, MI 49068-1167
Phone (269) 789-8120
7901 Angling Rd
Portage, MI 49024-0714
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010265 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Medical Group Promed | Cardiovascular Disease | Past | Accepting new patients |
Locations
555 Linn St
Allegan, MI 49010
Phone (269) 673-8424
3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100
30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490
1717 Shaffer St
Ste 002
Kalamazoo, MI 49048
1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963
3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940
671 Allegan St
Ste B
Plainwell, MI 49080
Phone (269) 685-3123
671 Allegan St
Plainwell, MI 49080
Phone (269) 685-1002
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470
711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557
711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Cardiovascular Disease
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
dba Oaklawn Hospital
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1760014500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 SHAFFER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 SHAFFER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481633",
"telephone_number": "269-381-3963"
}
],
"practiceLocations": [
{
"address_1": "1280 E Campus Dr",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "MI",
"postal_code": "488583803",
"country_code": "US",
"telephone_number": "517-488-3239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIGILAM",
"first_name": "SUNEEL",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-10",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.