Active NPI
Sambamurty Kalahasty, M.D.
- Internal Medicine Physician
- Allen Park, MI
National Provider Identifier
1962466268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 041891
- Practice address
- 7445 Allen Rd
Suite 210
Allen Park, MI 48101-1963 - Phone
- (313) 382-0505
- Fax
- (313) 382-1584
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 041891 | MI | Primary |
Addresses
Primary practice location
7445 Allen Rd
Suite 210
Allen Park, MI 48101-1963
Mailing address
7445 Allen Rd
Suite 210
Allen Park, MI 48101-1963
Phone (313) 382-0505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4134414 | Medicaid | MI | |
| SK041891 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041891 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Park Family Physicians PLC | Current | Accepting new patients |
Locations
7445 Allen Rd
Ste 210
Allen Park, MI 48101
Phone (313) 382-0505
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Allen Park, MI
- NPI 1265930275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962466268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7445 ALLEN RD",
"address_2": "SUITE 210",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481011963",
"telephone_number": "313-382-0505",
"fax_number": "313-382-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7445 ALLEN RD",
"address_2": "SUITE 210",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481011963",
"telephone_number": "313-382-0505",
"fax_number": "313-382-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAHASTY",
"first_name": "SAMBAMURTY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "041891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4134414",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SK041891",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.