Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUNANDA ELLINA MD
NPI 1063153575
Internal Medicine in St Clr Shores, MI

Q: What is Sunanda Ellina's NPI number?

The NPI number for Sunanda Ellina is 1063153575. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Sunanda Ellina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunanda Ellina was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2022PECOS Enrolled

29000 LITTLE MACK AVE STE A, ST CLR SHORES, MI 48081(586) 343-8717 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 18, 2024, Apr 27, 2022, Apr 6, 2022 (3 updates tracked since 2022).

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About Sunanda Ellina Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNANDA ELLINA MD (NPI 1063153575) is an individual internal medicine provider in St Clr Shores, Michigan, licensed in Michigan (4301515841) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1063153575

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUNANDA ELLINACredential: MD

Location Address29000 LITTLE MACK AVE STE ASt Clr Shores, MI 48081-3018

Mailing Address4001 N 3rd St Ste 290Phoenix, AZ 85012-2071

Phone(586) 343-8717

Sole ProprietorNo

Enumeration DateApril 6, 2022

Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1063153575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301515841

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

29000 LITTLE MACK AVE STE A, St Clr Shores, MI 48081

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Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 406-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunanda Ellina Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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