Organization Active NPI

Sudhir Lingnurkar MD PLC

  • Psychiatry Physician
  • Warren, MI
National Provider Identifier
1770822306
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301052185 Issued in MI
Legal business name
SUDHIR LINGNURKAR MD PLC
Practice address
11885 E 12 Mile Rd
Ste 204a
Warren, MI 48093-3474
Phone
(586) 558-6000
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Sudhir V Lingnurkar, MDNPI 1316905102
Title
Owner
Phone
(586) 558-6000

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301052185 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd
Ste 204a
Warren, MI 48093-3474

Mailing address

11885 E 12 Mile Rd
Ste 204a
Warren, MI 48093-3474
Phone (586) 558-6000

Other identifiers 1

IdentifierTypeStateIssuer
0E03866OtherMIBCBS OF MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000015 MI Part B Supplier - Clinic/Group Practice 6901044031 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11885 E 12 Mile Rd
Ste 204A
Warren, MI 48093
Phone (586) 558-6000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1770822306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "STE 204A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-558-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "STE 204A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-558-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR LINGNURKAR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "LINGNURKAR",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-558-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301052185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0E03866",
            "state": "MI"
        }
    ],
    "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 May 30, 2013; 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.