Active NPI
Sudhir Lingnurkar MD PLC
- Psychiatry Physician
- Warren, MI
National Provider Identifier
1770822306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301052185
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudhir V Lingnurkar, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E03866 | Other | MI | BCBS OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Warren, MI
- NPI 1316905102
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.