DR. SUSHEELA SREEDHAR MD
NPI 1912755968
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Susheela Sreedhar's NPI number?

The NPI number for Susheela Sreedhar is 1912755968. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Q: What is Susheela Sreedhar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Susheela Sreedhar was last updated on May 7, 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.

Active since May 07, 2024PECOS Enrolled

3990 JOHN R ST, 7 BRUSH N MB 165, DETROIT, MI 48201(313) 745-7555 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Susheela Sreedhar Md NPPES

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

DR. SUSHEELA SREEDHAR MD (NPI 1912755968) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912755968

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SUSHEELA SREEDHARCredential: MD

Location Address3990 JOHN R ST, 7 BRUSH N MB 165Detroit, MI 48201-2018

Mailing Address3990 John R StDetroit, MI 48201-2018 · (313) 993-4030

Phone(313) 745-7555

Sole ProprietorNo

Enumeration DateMay 7, 2024

NPPES CertifiedApril 16, 2024

✔ NPI 1912755968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3990 JOHN R ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susheela Sreedhar 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.

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.

KIMBERLY DAWN HARRIS CRNA

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