NPIMap

Organization Active NPI

Apollo Family Health Services PC

  • Internal Medicine Physician
  • Garden City, MI
National Provider Identifier
1891767281
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067805 Issued in MI
Legal business name
APOLLO FAMILY HEALTH SERVICES PC
Practice address
5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone
(734) 421-6333
Fax
(734) 421-9954
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Dr. Sujata Kambhatla, M.DNPI 1376679514
Title
President and Ceo
Phone
(734) 421-6333

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301067805 MI Primary

Addresses

Primary practice location

5823 Middlebelt Rd
Garden City, MI 48135-2459

Mailing address

5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone (734) 421-6333

Other identifiers 2

IdentifierTypeStateIssuer
110827980-2OtherMIBLUE CROSS BLUE SHIELD,MI
4112248MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118000824 MI Part B Supplier - Clinic/Group Practice 3173719952 Receives reassigned benefits from 4 practitioners
Practice locations: Garden City, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0991430Apollo Family Health Services, PC5823 Middlebelt Road, Garden City, MI 48135Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Locations

5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1891767281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352459",
            "telephone_number": "734-421-6333",
            "fax_number": "734-421-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 MIDDLEBELT RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352459",
            "telephone_number": "734-421-6333",
            "fax_number": "734-421-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO FAMILY HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "KAMBHATLA",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "734-421-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD,MI",
            "identifier": "110827980-2",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112248",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.