Active NPI
Metro Physiatry PC
- Physical Medicine & Rehabilitation Physician
- Southfield, MI
National Provider Identifier
1942359666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301050998
- Legal business name
- METRO PHYSIATRY PC
- Practice address
- 26900 Franklin Rd
Southfield, MI 48033 - Phone
- (248) 350-8070
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Santhosh Madhavan, M.D.
- Title
- Physician
- Phone
- (248) 761-9556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301050998 | MI | Primary |
Addresses
Primary practice location
26900 Franklin Rd
Southfield, MI 48033
Mailing address
7623 Windgate Cir
West Bloomfield, MI 48323-3913
Phone (248) 761-9556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2506334501 | Other | MI | BCBS |
| 4149829 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Grand Rapids, MI
- NPI 1679795355
-
- Physician Assistant
- Clinton TWP, MI
- NPI 1598906075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942359666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7623 WINDGATE CIR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233913",
"telephone_number": "248-761-9556",
"fax_number": "248-624-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26900 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48033",
"telephone_number": "248-350-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO PHYSIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MADHAVAN",
"authorized_official_first_name": "SANTHOSH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "248-761-9556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301050998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2506334501",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4149829",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Beshowy Metias
- Metro HCBS LLC
- Metro Healthcare Services Inc. (Metro Solutions)
- Metro Hospitalists, PC
- Metro Medical Supplies ,LLC
- Metro Physical Therapy and Rehabilitation, Inc
- Metro Prestigious Home Services LLC
- Metropolitan Health Supplies
- Metropolitan Home Care Specialist LLC
- Metropolitan Medical Supplies LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.