PADMA PADIVAL
NPI 1295478113
Nurse Practitioner - Gerontology in Southgate, MI

Q: What is Padma Padival's NPI number?

The NPI number for Padma Padival is 1295478113. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Padma Padival's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Padma Padival was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 18, 2022PECOS Enrolled

15150 FORT ST, SOUTHGATE, MI 48195(734) 282-4800 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Sep 16, 2024, Apr 18, 2022 (3 updates tracked since 2022).

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About Padma Padival NPPES

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

PADMA PADIVAL (NPI 1295478113) is an individual gerontology provider in Southgate, Michigan, licensed in Michigan (AG03220068) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295478113

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NamePADMA PADIVAL

Location Address15150 FORT STSouthgate, MI 48195-1302

Mailing Address45948 Windridge LnCanton, MI 48188-6223

Phone(734) 282-4800

Sole ProprietorNo

Enumeration DateApril 18, 2022

Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1295478113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MI · AG03220068

15150 FORT ST, Southgate, MI 48195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Padma Padival 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 48195 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOWNRIVER HEART AND VASCULAR SPECIALISTS PC

Internal Medicine (Interventional Cardiology)