Individual provider Active NPI

Sunali Tamhaney, MD

  • Internal Medicine Physician
  • South Lyon, MI
National Provider Identifier
1952302317
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068412 Issued in MI
Practice address
700 Reynold Sweet Pkwy
South Lyon, MI 48178-1816
Phone
(248) 790-6437
Fax
(248) 676-0697
NPI assigned
Aug 9, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301068412 MI Primary

Addresses

Primary practice location

700 Reynold Sweet Pkwy
South Lyon, MI 48178-1816

Mailing address

4351 Compton Way
Bloomfield Hills, MI 48302-2009
Phone (248) 790-6437

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050205000100 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 0042261190 Practice locations: Southfield, MI; South Lyon, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301068412MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Senior Care and Rehab Center, LLC Past Accepting new patients
Polyclinic Associates PC Past Accepting new patients
Michigan Orthopaedic Surgeons, PLLC Past Accepting new patients
Maple-Drake Real Estate, LLC Past Accepting new patients
BN Nandish MD PC Inc Internal Medicine Past Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stamhaney1155157@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elara CaringClinton Township, MI, CCN 231646 Hospice W-2 Managing Employee Oct 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952302317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 COMPTON WAY",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022009",
            "telephone_number": "248-790-6437",
            "fax_number": "248-676-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 REYNOLD SWEET PKWY",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781816",
            "telephone_number": "248-790-6437",
            "fax_number": "248-676-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMHANEY",
        "first_name": "SUNALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

Verify at the official NPI Registry.