DR. SUMITA JOSEPH MD
NPI 1225584550
Radiology - Diagnostic Radiology in Southfield, MI

Q: What is Sumita Joseph's NPI number?

The NPI number for Sumita Joseph is 1225584550. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Sumita Joseph's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Sumita Joseph was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 August 28, 2016PECOS EnrolledAccepts Medicare Assignment

74.5/100

CMS Quality Rating

PROVIDENCE HOSPITAL, 16001 W. 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3000 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Dec 20, 2022, Aug 28, 2016 (3 updates tracked since 2016).

On this page

About Dr. Sumita Joseph Md NPPES

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

DR. SUMITA JOSEPH MD (NPI 1225584550) is an individual diagnostic radiology provider in Southfield, Michigan, licensed in Massachusetts (287695) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225584550

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. SUMITA JOSEPHCredential: MD

Location AddressPROVIDENCE HOSPITAL, 16001 W. 9 MILE RDSouthfield, MI 48075

Mailing Address1156 Heatherwoode RdFlint, MI 48532-2336 · (810) 449-7547

Phone(248) 849-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 28, 2016

Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1225584550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MA · 287695✔ Licensed in MI · 4301512420✔ Licensed in AZ · 67000✔ Licensed in IL · 036161764✔ Licensed in FL · ME158022

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

PROVIDENCE HOSPITAL, Southfield, MI 48075

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-6509

Location 2601 John StKalamazoo, MI 49007-5341 · Phone (269) 341-7654

Other Identifiers 1

Other4301110830MI · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 and accepts Medicare assignment

Dr. Sumita Joseph Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335525427

PECOS Enrollment IDI20230525003510

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.

Areas of Expertise CMS Part B claims 17

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

686 services686 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

679 services679 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

113 services112 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

91 services91 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

68 services67 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

48 services48 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

41 services41 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

34 services34 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

24 services24 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

23 services23 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

20 services20 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

17 services16 patients

X-ray of chest, 2 views 71046

17 services17 patients

Ct scan of abdomen and pelvis with contrast 74177

17 services17 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

14 services13 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

14 services14 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100187

Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County

Emergency services Birthing friendly

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL

OwnershipVoluntary non-profit - Other

CMS Certification Number101309

Location524 W Sagamore AveClewiston, FL 33440 · Hendry County

Emergency services

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

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.

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

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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

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.

74.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

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 Sumita Joseph's NPI number?

The NPI number for Sumita Joseph is 1225584550. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Sumita Joseph located?

Sumita Joseph practices at Providence Hospital 16001 W. 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.

What is Sumita Joseph's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sumita Joseph enrolled in Medicare?

Yes. Sumita Joseph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sumita Joseph accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Sumita Joseph 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.

Is Sumita Joseph affiliated with any hospitals?

According to CMS data, Sumita Joseph is affiliated with Steward Palmetto General Hospital, Hendry Regional Medical Center and Gibson Community Hospital.

When was this NPI record last updated?

The NPPES record for Sumita Joseph was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.