NPIMap

Individual provider Active NPI

Vijay S Kudesia, MD

  • Cardiovascular Disease Physician
  • Southfield, MI
National Provider Identifier
1861483646
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301049969 Issued in MI
Practice address
27177 Lahser Rd
Ste 103
Southfield, MI 48034-4714
Phone
(248) 357-2722
Fax
(248) 357-1745
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301049969 MI Primary

Addresses

Primary practice location

27177 Lahser Rd
Ste 103
Southfield, MI 48034-4714

Mailing address

27177 Lahser Rd
Ste 103
Southfield, MI 48034-4714
Phone (248) 357-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040228000508 MI Practitioner - Cardiovascular Disease (Cardiology) 7012804610 Reassigns benefits to 1 organization
I20260508003639 GA Practitioner - Cardiovascular Disease (Cardiology) 7012804610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates PCGroup PAC ID 6901871581, 3 clinicians
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

27177 Lahser Rd
Suite 103
Southfield, MI 48034-8467
Phone 2483572722130

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

706 Dixie St
Suite 320
Carrollton, GA 30117-3819
Phone (770) 836-9326

Hospital & facility affiliations

  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
99.87 of 100Reported as individual
Quality
95.98
Improvement activities
40
Cost
87.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates PC Cardiovascular Disease CurrentSince Aug 1, 1981 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sherman a. Kay, M.D. & Associates PC Past Accepting new patients

Locations

27177 Lahser Rd
Ste 103
Southfield, MI 48034
Phone (248) 357-1360

Interoperability endpoints

  • Direct secure messaging: vkudesia1135340@direct.hfhs.org
  • Direct secure messaging: vkudesia@direct.dmc.org
  • Direct secure messaging: vijay.kudesia.1@31940.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1861483646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27177 LAHSER RD",
            "address_2": "STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480344714",
            "telephone_number": "248-357-2722",
            "fax_number": "248-357-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27177 LAHSER RD",
            "address_2": "STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480344714",
            "telephone_number": "248-357-2722",
            "fax_number": "248-357-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDESIA",
        "first_name": "VIJAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301049969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.