Organization Active NPI

Sudad Louis MD PLLC

  • Neurology Physician
  • Warren, MI
National Provider Identifier
1760847651
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301092292 Issued in MI
Legal business name
SUDAD LOUIS MD PLLC
Practice address
31500 Dequindre Rd Ste 500
Warren, MI 48092-1057
Phone
(586) 939-9500
Fax
(586) 939-9501
NPI assigned
Dec 21, 2015
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Sudad Louis, M.D.NPI 1386804151
Title
Neurology
Phone
(248) 798-4797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301092292 MI Primary

Addresses

Primary practice location

31500 Dequindre Rd Ste 500
Warren, MI 48092-1057

Mailing address

31500 Dequindre Rd
Suite 500
Warren, MI 48092-1057
Phone (586) 268-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308002100 MI Part B Supplier - Clinic/Group Practice 7315243920 Receives reassigned benefits from 4 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory
Tax ID family
Sudad Louis MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31500 Dequindre Rd
Ste 500
Warren, MI 48092
Phone (586) 268-5440

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1760847651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 DEQUINDRE RD",
            "address_2": "SUITE 500",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921057",
            "telephone_number": "586-268-5440",
            "fax_number": "586-268-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 DEQUINDRE RD STE 500",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921057",
            "telephone_number": "586-939-9500",
            "fax_number": "586-939-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDAD LOUIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "SUDAD",
        "authorized_official_title_or_position": "NEUROLOGY",
        "authorized_official_telephone_number": "248-798-4797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301092292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.