SOUMITRA DATTA D.O.
NPI 1851592133
Emergency Medicine in Warren, MI

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
13355 E 10 MILE RD, MEDICAL EDUCATION OFFICE, WARREN, MI 48089(586) 759-7300 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soumitra Datta D.o. NPPES

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

SOUMITRA DATTA D.O. (NPI 1851592133) is an individual emergency medicine provider in Warren, Michigan, licensed in New York (302334) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Oneida Health Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851592133
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSOUMITRA DATTACredential: D.O.
Location Address13355 E 10 MILE RD, MEDICAL EDUCATION OFFICEWarren, MI 48089-2048
Mailing Address13355 E 10 Mile Rd, Medical Education OfficeWarren, MI 48089-2048
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 31, 2007
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1851592133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 302334
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5101015964 (MI)
13355 E 10 MILE RD, Warren, MI 48089

Accepted 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

Soumitra Datta D.o. 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 ID749332526
PECOS Enrollment IDI20200603001725
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

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48089 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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
50%36 patients2/55-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.

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.

Radiology (Diagnostic Radiology)
13355 E 10 MILE RD, RADIOLOGY DEPARTMENT DR. MEOLI
WARREN, MI 48089
Pharmacy (Community/Retail Pharmacy)
13355 E 10 MILE RD
WARREN, MI 48089
Pediatrics
13355 E 10 MILE RD
WARREN, MI 48089
Internal Medicine
13355 E 10 MILE RD
WARREN, MI 48089
Nurse Anesthetist, Certified Registered
13355 E 10 MILE RD
WARREN, MI 48089
Nurse Anesthetist, Certified Registered
13355 E 10 MILE RD
WARREN, MI 48089
Nurse Anesthetist, Certified Registered
13355 E 10 MILE RD
WARREN, MI 48089
Nurse Anesthetist, Certified Registered
13355 E 10 MILE RD
WARREN, MI 48089

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 Soumitra Datta's NPI number?

The NPI number for Soumitra Datta is 1851592133. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Soumitra Datta located?

Soumitra Datta practices at 13355 E 10 Mile Rd Medical Education Office, Warren, MI 48089. The listed phone number is (586) 759-7300.

What is Soumitra Datta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Soumitra Datta enrolled in Medicare?

Yes. Soumitra Datta 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 Soumitra Datta accept?

Health plans from Blue Cross and Blue Shield of Texas list Soumitra Datta 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 Soumitra Datta affiliated with any hospitals?

According to CMS data, Soumitra Datta is affiliated with Oneida Health Hospital.

When was this NPI record last updated?

The NPPES record for Soumitra Datta was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.