Dr Sudhakar G Ezhuthachan, MD in Detroit, MI

Dr Sudhakar G Ezhuthachan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Detroit, Michigan. His current practice location is Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-2436.

Dr Sudhakar G Ezhuthachan is licensed to practice in Michigan (license number 4301045923) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972675676.

Contact Information

	Dr Sudhakar G Ezhuthachan, MD
	Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
	(313) 916-2436
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sudhakar G Ezhuthachan
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	Henry Ford Health System, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972675676
Provider Enumeration Date: 11/15/2006
Last Update Date: 07/16/2012

Medicare PECOS Information:

PECOS PAC ID: 6002065307
Enrollment ID: I20121002000219

Medical Identifiers

Medical identifiers for Dr Sudhakar G Ezhuthachan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972675676	NPI	-	NPPES
143010410	Medicaid	MI
SE045923	Other		CHAMPUS-CHAMPUS
SE045923	Other		COMMERCIAL-COMMERCIAL NUMBER
700H262280	Other		BLUE CROSS-BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301045923 (Michigan)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	4301045923 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sudhakar G Ezhuthachan allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sudhakar G Ezhuthachan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sudhakar G Ezhuthachan, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-3146	Dr Sudhakar G Ezhuthachan, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436

Reviews and Comments

Pediatrics Doctors in Detroit, MI

Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870

Dr Sudhakar G Ezhuthachan, MD - Medicare Pediatrics in Detroit, MI