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DR. SUMAIYA FATIMA KHAJA MD
NPI 1629620794
Internal Medicine - Infectious Disease in Sterling Heights, MI

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
43134 DEQUINDRE RD, STERLING HEIGHTS, MI 48314(888) 220-6432(630) 654-4253 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Jul 9, 2019 (2 updates tracked since 2019).

About Dr. Sumaiya Fatima Khaja Md NPPES

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

DR. SUMAIYA FATIMA KHAJA MD (NPI 1629620794) is an individual infectious disease provider in Sterling Heights, Michigan, licensed in Michigan (4301511779) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and maintains a secondary practice location in North Chicago.

NPPES Registry Identity

NPI1629620794
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SUMAIYA FATIMA KHAJACredential: MD
Location Address43134 DEQUINDRE RDSterling Heights, MI 48314-1723
Mailing Address271 Knoxbury CtGurnee, IL 60031-6224 · (416) 625-2463
Phone(888) 220-6432
Fax(630) 654-4253
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 9, 2019
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1629620794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MI · 4301511779
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125075205 (IL)
43134 DEQUINDRE RD, Sterling Heights, MI 48314
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Secondary Practice Location 1

Location 13333 Green Bay RdNorth Chicago, IL 60064-3037 · Phone (416) 625-2463

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Sumaiya Fatima Khaja 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 ID1759825011
PECOS Enrollment IDI20240627004139
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
900 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
138 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services51 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
36 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48314 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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 12

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

NEETHI VENKATAPPA GOWDA MD
Internal Medicine (Infectious Disease)
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 446-8688
RAMESHBHAI MANUBHAI PATEL MD
Internal Medicine
43134 DEQUINDRE RD
STERLING HTS, MI 48314
Macomb County (586) 739-5000
ANCHOR MEDICAL CENTER
Clinic/Center
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 739-5000
GERALDINE D ROSETE NP
Nurse Practitioner (Family)
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (888) 220-6432
MATT A NIEMCZEWSKI FNP
Nurse Practitioner (Family)
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 446-8688
VICENTE REDONDO MD
Internal Medicine (Infectious Disease)
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 446-8688
MACOMB INFECTIOUS DISEASE SPECIALISTS PLLC
Internal Medicine (Infectious Disease)
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 446-8688
EMELIE RAPANUT
Nurse Practitioner (Family)
43134 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 446-8688

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 Sumaiya Khaja's NPI number?

The NPI number for Sumaiya Khaja is 1629620794. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Sumaiya Khaja located?

Sumaiya Khaja practices at 43134 Dequindre Rd, Sterling Heights, MI 48314. The listed phone number is (888) 220-6432.

What is Sumaiya Khaja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sumaiya Khaja enrolled in Medicare?

Yes. Sumaiya Khaja 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 Sumaiya Khaja accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sumaiya Khaja 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 Sumaiya Khaja affiliated with any hospitals?

According to CMS data, Sumaiya Khaja is affiliated with Lake Huron Medical Center, Beaumont Hospital Royal Oak, Ascension Macomb Oakland Hosp-Warren Campus, Mclaren Port Huron and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Sumaiya Khaja was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.