DR. SUDARVIZHI SIVARAMAN D.M.D
NPI 1972028488
Dentist - General Practice in Grosse Pointe Woods, MI
About Dr. Sudarvizhi Sivaraman D.m.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUDARVIZHI SIVARAMAN D.M.D (NPI 1972028488) is an individual general practice provider in Grosse Pointe Woods, Michigan, licensed in Michigan (2901022465) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Dr. Sudarvizhi Sivaraman D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sudarvizhi Sivaraman's NPI number?
The NPI number for Sudarvizhi Sivaraman is 1972028488. It was assigned to this individual provider in the NPPES registry on August 4, 2017.
Where is Sudarvizhi Sivaraman located?
Sudarvizhi Sivaraman practices at 21219 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 882-7961.
What is Sudarvizhi Sivaraman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sudarvizhi Sivaraman enrolled in Medicare?
Yes. Sudarvizhi Sivaraman is registered in the Medicare PECOS enrollment system.
What insurance does Sudarvizhi Sivaraman accept?
Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Sudarvizhi Sivaraman 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.
When was this NPI record last updated?
The NPPES record for Sudarvizhi Sivaraman was last updated on May 23, 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.
# Dr. Sudarvizhi Sivaraman, D.M.D · NPI 1972028488
General Practice provider in Grosse Pointe Woods, Michigan. Individual provider, active in the CMS NPPES registry since August 4, 2017.
## Identity
- **NPI:** 1972028488 (Entity type: Individual)
- **Enumerated:** August 4, 2017
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901022465 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21219 MACK AVE, Grosse Pointe Woods, MI 48236-1045
- **Phone:** (313) 882-7961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** May 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972028488) · Data from the CMS NPPES public registry.