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SUSHMA SADASIVAN M.D.
NPI 1609843739
Family Medicine in Novi, MI

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
26850 PROVIDENCE PKWY, SUITE 370, NOVI, MI 48374(248) 465-4160(248) 465-4525 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sushma Sadasivan M.d. NPPES

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

SUSHMA SADASIVAN M.D. (NPI 1609843739) is an individual family medicine provider in Novi, Michigan, licensed in Michigan (4301061643) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Wayne State University School Of Medicine (1993).

NPPES Registry Identity

NPI1609843739
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSHMA SADASIVANCredential: M.D.
Location Address26850 PROVIDENCE PKWY, SUITE 370Novi, MI 48374-1213
Mailing Address26850 Providence Pkwy, Suite 370Novi, MI 48374-1213 · (248) 465-4160 · Fax (248) 465-5425
Phone(248) 465-4160
Fax(248) 465-4525
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1993
Enumeration DateMarch 7, 2006
Last NPPES UpdateMay 21, 2014
✔ NPI 1609843739 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 · 4301061643
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.
26850 PROVIDENCE PKWY, Novi, MI 48374
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Other Identifiers 3

Medicare ID-Type UnspecifiedN91620018
Medicare UPING38874
Medicaid4619273MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Sushma Sadasivan M.d. 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 ID3971581554
PECOS Enrollment IDI20040709001204
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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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.

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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%81 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$178.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

USHA A SINGHI M.D.
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 505
NOVI, MI 48374
Oakland County (248) 465-4163
DR. SERGE ALEXANDER SORSER MD
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 350
NOVI, MI 48374
Oakland County (248) 662-4110
MUNE GOWDA MD PLLC
Specialist
26850 PROVIDENCE PKWY, SUITE 125
NOVI, MI 48374
Oakland County (248) 305-8400
ASHLEY BRAUER DPT
Physical Therapist
26850 PROVIDENCE PKWY
NOVI, MI 48374
Oakland County (248) 380-3550
RAMACHANDRA KOLACHALAM, MD PC
Surgery
26850 PROVIDENCE PKWY, #460
NOVI, MI 48374
Oakland County (586) 751-6034
ROBERT A CARTER M.D.
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Oakland County (248) 662-4200
LAWRENCE JOSEPH COLLINS LLP
Psychologist
26850 PROVIDENCE PKWY, SUITE 410
NOVI, MI 48374
Oakland County (248) 465-4335
HENRY FORD SEMI MEDICAL GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26850 PROVIDENCE PKWY
NOVI, MI 48374
Oakland County (248) 680-8000

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 Sushma Sadasivan's NPI number?

The NPI number for Sushma Sadasivan is 1609843739. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Sushma Sadasivan located?

Sushma Sadasivan practices at 26850 Providence Pkwy Suite 370, Novi, MI 48374. The listed phone number is (248) 465-4160.

What is Sushma Sadasivan's specialty?

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

Is Sushma Sadasivan enrolled in Medicare?

Yes. Sushma Sadasivan 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 Sushma Sadasivan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sushma Sadasivan 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 Sushma Sadasivan affiliated with any hospitals?

According to CMS data, Sushma Sadasivan is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Sadasivan was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.