Organization Active NPI

S D Consulting Inc

  • Family Medicine Physician
  • Bingham Farms, MI
National Provider Identifier
1922821727
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
S D CONSULTING INC
Practice address
30150 Telegraph Rd Ste 371
Bingham Farms, MI 48025-5709
Phone
(888) 628-5535
NPI assigned
Nov 1, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Scot Randall, DONPI 1881611465
Title
Owner
Phone
(517) 231-1129

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

30150 Telegraph Rd Ste 371
Bingham Farms, MI 48025-5709

Mailing address

30150 Telegraph Rd Ste 371
Bingham Farms, MI 48025-5709
Phone (888) 628-5535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130000637 MI Part B Supplier - Clinic/Group Practice 6305375783 Receives reassigned benefits from 1 practitioner
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

30150 Telegraph Rd
Ste 371
Bingham Farms, MI 48025
Phone (734) 493-1662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1922821727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 371",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255709",
            "telephone_number": "888-628-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 371",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255709",
            "telephone_number": "888-628-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S D CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-231-1129",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.