DR. SUDHAKAR G. EZHUTHACHAN M.D.
NPI 1972675676
Pediatrics - Neonatal-Perinatal Medicine in Detroit, MI
About Dr. Sudhakar G. Ezhuthachan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUDHAKAR G. EZHUTHACHAN M.D. (NPI 1972675676) is an individual neonatal-perinatal medicine provider in Detroit, Michigan, licensed in Michigan (4301045923) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sudhakar G. Ezhuthachan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sudhakar Ezhuthachan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 1,886 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
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 Sudhakar Ezhuthachan's NPI number?
The NPI number for Sudhakar Ezhuthachan is 1972675676. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is Sudhakar Ezhuthachan located?
Sudhakar Ezhuthachan practices at Henry Ford Health System 2799 West Grand Boulevard, Detroit, MI 48202. The listed phone number is (313) 916-2436.
What is Sudhakar Ezhuthachan's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Sudhakar Ezhuthachan enrolled in Medicare?
Yes. Sudhakar Ezhuthachan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sudhakar Ezhuthachan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sudhakar Ezhuthachan reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudhakar Ezhuthachan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sudhakar Ezhuthachan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Sudhakar Ezhuthachan 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 Sudhakar Ezhuthachan was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. Sudhakar G. Ezhuthachan, M.D. · NPI 1972675676
Neonatal-Perinatal Medicine physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1972675676 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 4301045923 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, Detroit, MI 48202
- **Phone:** (313) 916-2436
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Henry Ford Health System (NPI 1528142858, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2012
- **Other identifiers:** Other SE045923; Medicare UPIN B48608; Medicaid 143010410 (MI); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972675676) · Data from the CMS NPPES public registry.