Individual provider Active NPI

Sukhwinder Kaur Pabla

  • Nurse Practitioner
  • Canton, MI
National Provider Identifier
1871226043
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704312413 Issued in MI
Practice address
43445 Cherrywood LN
Canton, MI 48188-5303
Phone
(734) 325-3371
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704312413 MI Primary

Addresses

Primary practice location

43445 Cherrywood LN
Canton, MI 48188-5303

Mailing address

43445 Cherrywood LN
Canton, MI 48188-5303
Phone (734) 325-3371

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420000921 MI Practitioner - Nurse Practitioner 9234594557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Prime Care PLLCGroup PAC ID 6709253669, 3 clinicians

Practice addresses (Care Compare)

20526 Plymouth Rd
Detroit, MI 48228-1201
Phone (734) 455-8310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdslivenow PLLC CurrentSince Jan 14, 2023 Accepting new patients
Elite Prime Care PLLC CurrentSince Jan 24, 2023 Accepting new patients
Transitional Healthcare Solutions PLLC CurrentSince Dec 9, 2023 Accepting new patients
Douglas a Cutcher DPM PLC PastSince May 23, 2008 Accepting new patients
Michigan Hospitalists Associates PC PastSince Jan 5, 2025 Accepting new patients

Locations

8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

29436 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 479-3159

26029 5 Mile Rd
Redford, MI 48239
Phone (313) 255-7900

15450 Northline Rd
Southgate, MI 48195
Phone (313) 898-4390

Interoperability endpoints

  • Direct secure messaging: spabla1143645@direct.hfhs.org

Organizations & group practices 5

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1871226043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43445 CHERRYWOOD LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885303",
            "telephone_number": "734-325-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43445 CHERRYWOOD LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885303",
            "telephone_number": "734-325-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLA",
        "first_name": "SUKHWINDER",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704312413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.