DR. NIRMAL NANDAKUMAR D.O.
NPI 1063469278
Emergency Medicine in Southfield, MI
About Dr. Nirmal Nandakumar D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIRMAL NANDAKUMAR D.O. (NPI 1063469278) is an individual emergency medicine provider in Southfield, Michigan, licensed in Michigan (5101013192) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Livonia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nirmal Nandakumar D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Nirmal Nandakumar reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health St. John Hospital
- 520 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 68 clinicians in this Medicare group
Waterford, MI 48328
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Observation Emergency Physicians PC
- 158 clinicians in this Medicare group
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 31 clinicians in this Medicare group
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Lakeside Urgent Care PC
- 81 clinicians in this Medicare group
Macomb, MI 48044
- Reassigned Medicare billing, Michigan enrollment
- 37 clinicians in this Medicare group
Oxford, MI 48371
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Oxford Urgent Care Plc
- 81 clinicians in this Medicare group
Howell, MI 48843
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nirmal Nandakumar's NPI number?
The NPI number for Nirmal Nandakumar is 1063469278. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Nirmal Nandakumar located?
Nirmal Nandakumar practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.
What is Nirmal Nandakumar's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nirmal Nandakumar enrolled in Medicare?
Yes. Nirmal Nandakumar is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nirmal Nandakumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nirmal Nandakumar reassigns Medicare benefits to 10 organizations: Ascension St John Hospital (Southfield, MI), Royal Urgent Care, PLLC (Royal Oak, MI), Elizabeth Lake Urgent Care PLLC (Waterford, MI), Emergency Department Physicians, P.C. (Detroit, MI), Observation Emergency Physicians, P.C. (Detroit, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nirmal Nandakumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nirmal Nandakumar accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nirmal Nandakumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nirmal Nandakumar was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Nirmal Nandakumar, D.O. · NPI 1063469278
Emergency Medicine physician in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1063469278 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101013192 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 16001 W 9 MILE RD, Southfield, MI 48075-4818
- **Phone:** (248) 849-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Ascension St John Hospital (NPI 1922397058, Southfield, MI); Royal Urgent Care, PLLC (NPI 1952833196, Royal Oak, MI); Elizabeth Lake Urgent Care PLLC (NPI 1538585260, Waterford, MI); Emergency Department Physicians, P.C. (NPI 1225083595, Detroit, MI); Observation Emergency Physicians, P.C. (NPI 1497920524, Detroit, MI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2024
- **Other identifiers:** Medicaid 114327288 (MI); Medicaid 114327279 (MI); Medicaid 114327297 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063469278) · Data from the CMS NPPES public registry.