Active NPI
Sujata Surendar Purohit, MD
- Ophthalmology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301086397
- Practice address
- 1000 Wall St
Ann Arbor, MI 48105-1912 - Phone
- (734) 764-4190
- NPI assigned
- Mar 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301086397 | MI | Primary |
Addresses
Primary practice location
1000 Wall St
Ann Arbor, MI 48105-1912
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1116 W Ganson St
Jackson, MI 49202-4240
Phone (517) 782-9436
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4795870 | Medicaid | MI | |
| 4795922 | Medicaid | MI | |
| 180H149970 | Other | MI | BCBSM |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 764-4190
Hospital & facility affiliations
- University of Michigan Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086397 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Michigan Eye Care Center, PC | Ophthalmology | Current | Accepting new patients |
| Blue Sky Vision Eye Care, P.C | Ophthalmology | Current | Accepting new patients |
| Regents of the University of Michigan | Ophthalmology | Current | Accepting new patients |
| Blue Sky Vision Eye Care, PC | Ophthalmology | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients | |
| Walker Surgical Center LLC | Past | Accepting new patients |
Locations
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1000 Wall St
Ann Arbor, MI 48105
Phone (734) 763-1415
19335 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-5580
1600 Commerce Park Dr
Ste 100
Chelsea, MI 48118
Phone (734) 475-7359
1922 Monroe St
Dearborn, MI 48124
Phone (313) 274-7540
750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506
4020 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (866) 418-7215
850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790
1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436
Interoperability endpoints
- spurohit462923@direct.hfhs.org
- sajatta.purohit.p1@direct.grophthalmology.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Ann Arbor, MI
- NPI 1568495299
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
-
- Ophthalmology Physician
- Jackson, MI
- NPI 1649275041
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1316675598
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- Ambulatory Surgical Clinic/Center
- Walker, MI
- NPI 1679612253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1922069939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALL ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051912",
"telephone_number": "734-764-4190"
}
],
"practiceLocations": [
{
"address_1": "1116 W Ganson St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492024240",
"country_code": "US",
"telephone_number": "517-782-9436",
"fax_number": "517-782-5166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUROHIT",
"first_name": "SUJATA",
"middle_name": "SURENDAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301086397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4795870",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4795922",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "180H149970",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.