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DR. SUDHAKAR G. EZHUTHACHAN M.D.
NPI 1972675676
Pediatrics - Neonatal-Perinatal Medicine in Detroit, MI

Active since November 15, 2006PECOS Enrolled
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202(313) 916-2436 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1972675676
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SUDHAKAR G. EZHUTHACHANCredential: M.D.
Location AddressHENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARDDetroit, MI 48202
Mailing AddressHenry Ford Health System, 2799 West Grand BoulevardDetroit, MI 48202 · (313) 916-3146 · Fax (313) 916-8425
Phone(313) 916-2436
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 16, 2012
✔ NPI 1972675676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MI · 4301045923
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 4301045923 (MI)
HENRY FORD HEALTH SYSTEM, Detroit, MI 48202
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Other Identifiers 6

OtherSE045923Commercial-commercial Number
Medicare UPINB48608
Medicaid143010410MI
OtherSE045923Champus-champus
Medicare ID-Type Unspecified0H26228072
Other700H262280Blue Cross-blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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. Sudhakar G. Ezhuthachan M.d. 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.

GREGORY L. HAYS M.D.
Emergency Medicine
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
RAJINDER P. SHARMA M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
MILAN V. PANTELIC M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
MEHSATI HERAWI M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
AAMIR SIDDIQUI M.D.
Plastic Surgery
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
RAY H. LITTLETON M.D.
Urology
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
ARNEL V. CLARIN M.D.
Family Medicine
HENRY FORD HEALTH SYSTEM, 1151 TAYLOR
DETROIT, MI 48202
Wayne County (313) 823-9800
ELIZABETH J. ANGUS M.D.
Psychiatry & Neurology (Neurology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436

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.

What insurance does Sudhakar Ezhuthachan accept?

Health plans from McLaren Health Plan Community and Priority Health 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.