Active NPI
Poomathi Sadhishkumar, M.D;
- Pediatrics Physician
- Lansing, MI
National Provider Identifier
1902089295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301083900
- Practice address
- 1515 Lake Lansing Rd Ste C2
Lansing, MI 48912-3752 - Phone
- (517) 482-9582
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301083900 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | 4301083900 | MI |
Addresses
Primary practice location
1515 Lake Lansing Rd Ste C2
Lansing, MI 48912-3752
Mailing address
1515 Lake Lansing Rd Ste C3
Lansing, MI 48912-3752
Phone (517) 482-9582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083900 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Capital Area Pediatrics | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1437285608
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1346227626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1902089295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 LAKE LANSING RD STE C3",
"city": "LANSING",
"state": "MI",
"postal_code": "489123752",
"telephone_number": "517-482-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 LAKE LANSING RD STE C2",
"city": "LANSING",
"state": "MI",
"postal_code": "489123752",
"telephone_number": "517-482-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADHISHKUMAR",
"first_name": "POOMATHI",
"name_prefix": "Dr.",
"credential": "M.D;",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301083900",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301083900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.