Individual provider Active NPI

Sudhir L Desai, MD

  • Internal Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1992741227
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SD046833 Issued in MI
Practice address
126 College St
Ste a
Battle Creek, MI 49037-3461
Phone
(269) 969-6254
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 SD046833 MI Primary

Addresses

Primary practice location

126 College St
Ste a
Battle Creek, MI 49037-3461

Mailing address

126 College St
Ste a
Battle Creek, MI 49037-3461
Phone (269) 969-6254

Other identifiers 1

IdentifierTypeStateIssuer
1944457MedicaidMI

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
I20101230000421 MI Practitioner - Internal Medicine 0648468983 Practice locations: Battle Creek, MI

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
35.8 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
83.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SD046833MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Primary Care PLLC Internal Medicine CurrentSince Sep 7, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

126 College St
Ste D
Battle Creek, MI 49037
Phone (313) 674-7471

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGHDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1992741227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "address_2": "STE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373461",
            "telephone_number": "269-969-6254",
            "fax_number": "269-969-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "address_2": "STE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373461",
            "telephone_number": "269-969-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SUDHIR",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SD046833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944457",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.