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PROMITA ROYCHOUDHURY MD
NPI 1083614002
Family Medicine in South Lyon, MI

Active since August 01, 2005PECOS Enrolled
210 N LAFAYETTE, SOUTH LYON, MI 48178(248) 437-1744(248) 446-2420 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Promita Roychoudhury Md NPPES

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

PROMITA ROYCHOUDHURY MD (NPI 1083614002) is an individual family medicine provider in South Lyon, Michigan, licensed in Michigan (4301079465) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083614002
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePROMITA ROYCHOUDHURYCredential: MD
Location Address210 N LAFAYETTESouth Lyon, MI 48178
Mailing Address15990 W 9 Mile RdSouthfield, MI 48075-4826 · (248) 849-4226 · Fax (248) 849-4240
Phone(248) 437-1744
Fax(248) 446-2420
Sole ProprietorNo
Enumeration DateAugust 1, 2005
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1083614002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301079465
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 N LAFAYETTE, South Lyon, MI 48178
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Other Names 1

Former Name (1)Promita Banerjee Md

Other Identifiers 3

Medicare UPINH76067MI
Medicaid471590310MI
Medicare ID-Type Unspecified0F36020016MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promita Roychoudhury 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.

Medicare Billing Reassignment

Medicare enrollment records show Promita Roychoudhury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
30 mi
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48178 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

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 Promita Roychoudhury's NPI number?

The NPI number for Promita Roychoudhury is 1083614002. It was assigned to this individual provider in the NPPES registry on August 1, 2005. The provider is also known as Promita Banerjee MD.

Where is Promita Roychoudhury located?

Promita Roychoudhury practices at 210 N Lafayette, South Lyon, MI 48178. The listed phone number is (248) 437-1744.

What is Promita Roychoudhury's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Promita Roychoudhury enrolled in Medicare?

Yes. Promita Roychoudhury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Promita Roychoudhury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Promita Roychoudhury reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Promita Roychoudhury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Promita Roychoudhury accept?

Health plans from Blue Cross and Blue Shield of Montana list Promita Roychoudhury 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 Promita Roychoudhury was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.