Dedicated Physicians Group of Michigan PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DEDICATED PHYSICIANS GROUP OF MICHIGAN PLLC

Practice address

21816 W 11 Mile Rd
Southfield, MI 48076-3724

Phone

(248) 375-4040

NPI assigned

Mar 19, 2021

Organization subpart

Yes

Parent organization

DEDICATED SENIOR MEDICAL CENTERAs reported in NPPES

Name

Mary Chen

Title

Executive Officer

Phone

(305) 628-6117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Azzo

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1396132106
  NPD
• Kamaljeet Bhatia, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1356900393
  NPD
• Alexander Ghuneim, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1740843713
  NPD
• Anteo Pashaj, D.O.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1386026193
  NPD
• Vishnuvardhan G Reddy, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1376522763
  NPD
• Samer Shaja, DO

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1760831648
  NPD
• Vidya B Ramasamy, M.D.,

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1093061871
  NPD
• Shilpa Kala Sannapaneni, MD

  • Internal Medicine Physician
  • Provo, UT
  • NPI 1902303522
  NPD
• Racha El-Ladki, DO

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1043660640
  NPD (past)
• Arti Madhavan, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1457322794
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dedicated Physicians Group of Michigan PLLC7 organizations share this tax ID, including this one

Part of

Dedicated Physicians Group of Michigan PLLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Warren, MI
  • NPI 1518543982
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1588339451
  NPD tax ID
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Eastpointe, MI
  • NPI 1730754656
  NPD tax ID
• Dedicated Physicians Group of Michigan, PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1346826401
  NPD tax ID
• Dedicated Physicians Group of Michigan, PLLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1992392393
  NPD tax ID

Locations

• Dedicated Senior Medical Center Southfield Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2021.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1982280038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21816 W 11 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763724",
            "telephone_number": "248-375-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED PHYSICIANS GROUP OF MICHIGAN PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED SENIOR MEDICAL CENTER",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Senior Medical Center Southfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dedicated Senior Medical Center Southfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Deason
• Tiffany Deboer
• Tanisha Decaire
• Tasha Decare
• David Decker
• Braswell Drue Deen, MD
• Meer J Deen, DPM
• Deepa Taggarshe MD PLLC
• Sandra Kay Deering, DNP
• Defpotec Corporation

• All providers in Southfield, MI
• Non-Pharmacy Dispensing Site in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.