NPIMap

Individual provider Active NPI

Helda Souresho, MD

  • Family Medicine Physician
  • Sandusky, MI
National Provider Identifier
1962068163
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301505947 Issued in MI
Practice address
109 N Delaware St
Sandusky, MI 48471-1008
Phone
(810) 648-9677
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Memorial Hospital 31 clinicians
Sciometrix LLC 58 clinicians

Practice addresses (Care Compare)

115 N Delaware St
Sandusky, MI 48471-1008
Phone (810) 648-6114

120 Delaware St
Sandusky, MI 48471-1009

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-6162

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314
  • Deckerville Community Hospital Hospital, Deckerville, MI, CCN 231311
  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228001352 MI Practitioner - Family Practice 3870827751 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301505947MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
McKenzie Memorial Hospital Current Accepting new patients
Sciometrix Inc CurrentSince Nov 7, 2024 Accepting new patients
Sciometrix LLC CurrentSince Nov 7, 2024 Accepting new patients
McKenzie Memorial Hospital Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

109 N Delaware St
Sandusky, MI 48471
Phone (810) 648-4219

Interoperability endpoints

  • Direct secure messaging: helda.souresho@mhs.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301505947 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

109 N Delaware St
Sandusky, MI 48471-1008

Mailing address

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-3770

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address helda.souresho@mhs.eclinicaldirectplus.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2023.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1962068163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711009",
            "telephone_number": "810-648-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711008",
            "telephone_number": "810-648-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURESHO",
        "first_name": "HELDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helda.souresho@mhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "109 N Delaware St",
            "city": "Sandusky",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484711008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.