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SUDHAKARAN JEGADEESH INC
NPI 1093091316
Physical Therapist - Orthopedic in Southfield, MI

Active since November 01, 2011
17418 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 552-1012(248) 552-0657 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sudhakaran Jegadeesh Inc NPPES

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

SUDHAKARAN JEGADEESH INC (NPI 1093091316) is a healthcare organization registered as an orthopedic in Southfield, Michigan and active in the NPI registry since November 2011. The organization lists Sudhakaran Jegadeesh, Owner, as its authorized official.

NPPES Registry Identity

NPI1093091316
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameSUDHAKARAN JEGADEESH INC
Location Address17418 W 10 MILE RDSouthfield, MI 48075-2951
Mailing Address17418 W 10 Mile RdSouthfield, MI 48075-2951 · (248) 552-1012 · Fax (248) 552-0657
Phone(248) 552-1012
Fax(248) 552-0657
Organization SubpartNo
Authorized OfficialSudhakaran JegadeeshOwner · (248) 552-1012
Enumeration DateNovember 1, 2011
✔ NPI 1093091316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MI · 5501007156
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
17418 W 10 MILE RD, Southfield, MI 48075
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudhakaran Jegadeesh Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sudhakaran Jegadeesh Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sudhakaran Jegadeesh, PT, MBA
Physical Therapist in Private Practice
NPI 1326249103
17418 W 10 MILE RD
Southfield, MI 48075
(248) 552-1012
✔ Accepts MedicareSame address

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

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 Sudhakaran Jegadeesh Inc's NPI number?

The NPI number for Sudhakaran Jegadeesh Inc is 1093091316. It was assigned to this organization in the NPPES registry on November 1, 2011.

Where is Sudhakaran Jegadeesh Inc located?

Sudhakaran Jegadeesh Inc is located at 17418 W 10 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 552-1012.

What is Sudhakaran Jegadeesh Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Sudhakaran Jegadeesh Inc enrolled in Medicare?

Yes. Sudhakaran Jegadeesh Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sudhakaran Jegadeesh Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Sudhakaran Jegadeesh Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sudhakaran Jegadeesh Inc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sudhakaran Jegadeesh Inc 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 Sudhakaran Jegadeesh Inc was last updated on November 1, 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.