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SUDHIR WALAVALKAR MD
NPI 1730167552
Internal Medicine in Southfield, MI

Active since January 03, 2006PECOS Enrolled
22255 GREENFIELD RD, 310, SOUTHFIELD, MI 48075(248) 849-4990(248) 849-4991 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sudhir Walavalkar Md NPPES

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

SUDHIR WALAVALKAR MD (NPI 1730167552) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301041018) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730167552
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUDHIR WALAVALKARCredential: MD
Location Address22255 GREENFIELD RD, 310Southfield, MI 48075-3710
Mailing Address25925 Telegraph Rd, 210Southfield, MI 48033-2518 · (248) 746-3218 · Fax (248) 746-0369
Phone(248) 849-4990
Fax(248) 849-4991
Sole ProprietorYes
Enumeration DateJanuary 3, 2006
Last NPPES UpdateDecember 29, 2011
✔ NPI 1730167552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301041018
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License SW041018 (MI)
22255 GREENFIELD RD, Southfield, MI 48075
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Other Identifiers 2

Medicare PIN0F36477MI
Medicare UPINA76638

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudhir Walavalkar Md 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 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
$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.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
83%289 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
60%207 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
79%619 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
72%25 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
64%214 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%9,322 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
68%989 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%282 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%1,126 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%1,128 patients5/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%1,126 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
13%1,126 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%1,126 patients
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims60 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims18 services$1.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$58.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$27.48 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.

BEVERLY CAMERON RD, CDE
Dietitian, Registered
22255 GREENFIELD RD, SUITE 400
SOUTHFIELD, MI 48075
Oakland County (248) 849-3381
BETHANY RALPH DPT
Physical Therapist
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3907
JENNIFER PORCO NP
Nurse Practitioner (Occupational Health)
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3195
WENDY MARIE YODER MA, LPC
Counselor
22255 GREENFIELD RD, #132
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
LISA HILTON LMSW
Social Worker (Clinical)
22255 GREENFIELD RD, SUITE 300
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
SHELLEY ADAMS PT
Physical Therapist
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3907
LESTER EDWARD POTEMPA DO
Psychiatry & Neurology (Psychiatry)
22255 GREENFIELD RD, 132
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
DAYNA MICHELLE MULLALY L.M.S.W.
Social Worker (Clinical)
22255 GREENFIELD RD, SUITE 300
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301

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 Sudhir Walavalkar's NPI number?

The NPI number for Sudhir Walavalkar is 1730167552. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Sudhir Walavalkar located?

Sudhir Walavalkar practices at 22255 Greenfield Rd 310, Southfield, MI 48075. The listed phone number is (248) 849-4990.

What is Sudhir Walavalkar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sudhir Walavalkar enrolled in Medicare?

Yes. Sudhir Walavalkar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sudhir Walavalkar was last updated on December 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.