Organization Active NPI

Sunil K. Kaushal, M.D., P.C.

  • Gastroenterology Physician
  • Flint, MI
National Provider Identifier
1912927849
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301052484 Issued in MI
Legal business name
SUNIL K. KAUSHAL, M.D., P.C.
Practice address
1100 S Linden Rd
Suite 2
Flint, MI 48532-3451
Phone
(810) 733-3194
Fax
(810) 733-7519
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Sunil K Kaushal, M.D.NPI 1376597369
Title
President/Owner
Phone
(810) 733-3194

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 4301052484 MI Primary

Addresses

Primary practice location

1100 S Linden Rd
Suite 2
Flint, MI 48532-3451

Mailing address

PO Box 673695
Detroit, MI 48267-0001
Phone (810) 230-0338

Other identifiers 1

IdentifierTypeStateIssuer
3223583MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060727000053 MI Part B Supplier - Clinic/Group Practice 3274546858 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

1100 S Linden Rd
Ste 2
Flint, MI 48532
Phone (810) 732-8120

1100 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 733-3194

2432 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-6499

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1912927849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673695",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670001",
            "telephone_number": "810-230-0338",
            "fax_number": "810-230-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S LINDEN RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323451",
            "telephone_number": "810-733-3194",
            "fax_number": "810-733-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL K. KAUSHAL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "KAUSHAL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "810-733-3194",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301052484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3223583",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.