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

Q: 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.

Q: What is Promita Roychoudhury's specialty?

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

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: August 09, 2026.

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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 AvMed, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and more.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)

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.

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.

What insurance does Promita Roychoudhury accept?

Health plans from AvMed, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, McLaren Health Plan Community and Molina Healthcare and 1 other insurer 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.