Active NPI
Satish Kumar Cham, MD
- Psychiatry Physician
- Southfield, MI
National Provider Identifier
1962472654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301040701
- Practice address
- 22170 W 9 Mile Rd
Southfield, MI 48033-6007 - Phone
- (248) 475-6800
- Fax
- (248) 355-1402
- NPI assigned
- Jan 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301040701 | MI | |
| Psychiatry Physician | 2084P0800X | 4301040701 | MI | Primary |
Addresses
Primary practice location
22170 W 9 Mile Rd
Southfield, MI 48033-6007
Mailing address
4530 Echo Rd
Bloomfield Hills, MI 48302-1951
Phone (313) 587-5580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382507138 | Other | MI | TAX ID |
| 1594724 | Medicaid | MI | |
| 2648200032 | Other | MI | BCBS PROVIDER ID |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1962472654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 ECHO RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021951",
"telephone_number": "313-587-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22170 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480336007",
"telephone_number": "248-475-6800",
"fax_number": "248-355-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAM",
"first_name": "SATISH",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301040701",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301040701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "382507138",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1594724",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "2648200032",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.