Sanjukta Sridharan, MD - Medicare Family Medicine in Southgate, MI

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Sanjukta Sridharan, MD is a medicare enrolled "Family Medicine" physician in Southgate, Michigan. Her current practice location is 15777 Northline Rd Ste 202, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 246-8100.

Sanjukta Sridharan is licensed to practice in Michigan (license number 4301088767) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083823728.

Contact Information

Sanjukta Sridharan, MD
15777 Northline Rd Ste 202,
Southgate, MI 48195-2354
(734) 246-8100
(734) 324-9527

Map and Direction




Physician's Profile

Full NameSanjukta Sridharan
GenderFemale
SpecialityFamily Medicine
Location15777 Northline Rd Ste 202, Southgate, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083823728
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 08/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042354243
  • Enrollment ID: I20100225000121

Medical Identifiers

Medical identifiers for Sanjukta Sridharan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083823728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301088767 (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. Sanjukta Sridharan allows following entities to bill medicare on her behalf.
Entity NameRoseville Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811297070
PECOS PAC ID: 8921281361
Enrollment ID: O20110323000384
Entity NameSouthfield City Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811278716
PECOS PAC ID: 5698948354
Enrollment ID: O20111026000090
Entity NameHoover Urgent Care Of Warren Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821351610
PECOS PAC ID: 6204073752
Enrollment ID: O20130501000127
Entity NameSeton Health Corporation Of Southeastern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598177065
PECOS PAC ID: 2567689540
Enrollment ID: O20140814002590
Entity NameOak Park Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770980385
PECOS PAC ID: 6305169988
Enrollment ID: O20150107000682
Entity NameMichigan Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982060935
PECOS PAC ID: 8820396419
Enrollment ID: O20160414001942
Entity NameGet Well Urgent Care Madison Heights Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295240307
PECOS PAC ID: 1052670882
Enrollment ID: O20180124000031
Entity NameGet Well Urgent Care Downriver Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578035317
PECOS PAC ID: 5193061992
Enrollment ID: O20190116001070
Entity NameGet Well Urgent Care Southgate Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235722430
PECOS PAC ID: 9537575881
Enrollment ID: O20210310002563
Entity NameGet Well Urgent Care Sterling Heights Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891381232
PECOS PAC ID: 8820405400
Enrollment ID: O20210326000579
Entity NameGet Well Urgent Care Macomb Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073289013
PECOS PAC ID: 6204232176
Enrollment ID: O20210901002954
Entity NameGet Well Urgent Care Dearborn Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942936307
PECOS PAC ID: 7911373170
Enrollment ID: O20221013001907
Entity NameGet Well Urgent Care Taylor Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689320012
PECOS PAC ID: 4385011329
Enrollment ID: O20221104001251
Entity NameGet Well Urgent Care Harper Woods Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609585025
PECOS PAC ID: 5698145506
Enrollment ID: O20230110000404
Entity NameGet Well Urgent Care Pontiac Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740999077
PECOS PAC ID: 2961872726
Enrollment ID: O20230112001336
Entity NameGet Well Urgent Care Shelby Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033865464
PECOS PAC ID: 0749646412
Enrollment ID: O20230523000543
Entity NameGet Well Urgent Care Dearborn Heights Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871204578
PECOS PAC ID: 7012362833
Enrollment ID: O20231016000457

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. Sanjukta Sridharan 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 AddressPractice Location Address
Sanjukta Sridharan, MD
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: () -		Sanjukta Sridharan, MD
15777 Northline Rd Ste 202,
Southgate, MI 48195-2354

Ph: (734) 246-8100

Reviews and Comments


Family Medicine Doctors in Southgate, MI

Dr. John Renaldson Orelien, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195
Phone: 734-246-8100    
Dr. Amal Mohamed Ali Abdul-hussein,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12815 Northline Rd, Southgate, MI 48195
Phone: 734-284-2090    
Aaron J Blanzy, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14319 Dix-toledo Rd, Southgate, MI 48195
Phone: 734-285-0677    Fax: 734-285-3574
Angela Moughni, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 14319 Dix Toledo Rd, Southgate, MI 48195
Phone: 734-285-0677    Fax: 734-285-3574
Christine Climie, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15777 Northline Rd, Southgate, MI 48195
Phone: 734-246-8100    
Thomas M Pinson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195
Phone: 734-283-2262    Fax: 734-283-8121

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.