Individual provider Active NPI

Sumanchandra M Patel, M.D.

  • Family Medicine Physician
  • Wayne, MI
National Provider Identifier
1790773729
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP406326 Issued in MI
Practice address
2901 S Newburgh Rd
Wayne, MI 48184-1001
Phone
(734) 729-7220
Fax
(734) 729-7227
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP406326 MI Primary

Addresses

Primary practice location

2901 S Newburgh Rd
Wayne, MI 48184-1001

Mailing address

2901 S Newburgh Rd
Wayne, MI 48184-1001
Phone (734) 729-7220

Other identifiers 2

IdentifierTypeStateIssuer
4192463MedicaidMI
2860306MedicaidMI

Other names 1

  • Dr. Suman M Patel Other name

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
I20050112000119 MI Practitioner - Internal MedicinePractitioner - Family Practice 4587612056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP406326MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Primary Care Family Medicine CurrentSince Jan 1, 2015 Accepting new patients

Locations

2901 S Newburgh Rd
Wayne, MI 48184
Phone (313) 729-7220

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1790773729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S NEWBURGH RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841001",
            "telephone_number": "734-729-7220",
            "fax_number": "734-895-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S NEWBURGH RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841001",
            "telephone_number": "734-729-7220",
            "fax_number": "734-729-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUMANCHANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SP406326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4192463",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860306",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMAN",
            "last_name": "PATEL",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.