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JAMES HOWARD SONDHEIMER MD
NPI 1992745897
Internal Medicine - Nephrology in Detroit, MI

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
4160 JOHN R, SUITE 917, DETROIT, MI 48201(313) 745-4525(313) 745-0011 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2022, Feb 4, 2016 (2 updates tracked since 2016).

About James Howard Sondheimer Md NPPES

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

JAMES HOWARD SONDHEIMER MD (NPI 1992745897) is an individual nephrology provider in Detroit, Michigan, licensed in Michigan (4301046362) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1992745897
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAMES HOWARD SONDHEIMERCredential: MD
Location Address4160 JOHN R, SUITE 917Detroit, MI 48201-2020
Mailing Address400 Mack AveDetroit, MI 48201-2136
Phone(313) 745-4525
Fax(313) 745-0011
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1978
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1992745897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301046362
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301046362 (MI)
Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 4301046362 (MI)
4160 JOHN R, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 Mack AveDetroit, MI 48201-2136 · Phone (313) 448-9650 · Fax (313) 448-9979

Other Identifiers 1

Other0H24844008MI · Indiv Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

James Howard Sondheimer Md 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 ID7810909124
PECOS Enrollment IDI20060630000244
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services53 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
52 services14 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
39 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services36 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
33 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VHS PHYSICIANS OF MICHIGAN
Internal Medicine (Cardiovascular Disease)
4160 JOHN R, STE 708
DETROIT, MI 48201
Wayne County (313) 832-6034
DR. ALFRED EUGENE BAYLOR III MD
Surgery
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. DAOUD K ABU-HAMDAN MD
Internal Medicine (Nephrology)
4160 JOHN R, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201
Wayne County (313) 745-4525
JAMES JOSEPH GLAZIER MD
Internal Medicine (Cardiovascular Disease)
4160 JOHN R, #525
DETROIT, MI 48201
Wayne County (313) 831-1100
XIAOPING HUANG MD PHD
Internal Medicine (Nephrology)
4160 JOHN R, SUITE 729
DETROIT, MI 48201
Wayne County (313) 879-4231
ILYES BENCHAALA MD
Internal Medicine (Rheumatology)
4160 JOHN R, SUITE 917
DETROIT, MI 48201
Wayne County (313) 745-4525
SHIVKUMAR PRABHU, M.D., P.C.
Internal Medicine (Gastroenterology)
4160 JOHN R, SUITE 702
DETROIT, MI 48201
Wayne County (313) 832-6125
MS. SANA ALI KHAN
Student in an Organized Health Care Education/Training Program
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

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 James Sondheimer's NPI number?

The NPI number for James Sondheimer is 1992745897. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is James Sondheimer located?

James Sondheimer practices at 4160 John R Suite 917, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is James Sondheimer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Sondheimer enrolled in Medicare?

Yes. James Sondheimer 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 James Sondheimer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list James Sondheimer 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 James Sondheimer affiliated with any hospitals?

According to CMS data, James Sondheimer is affiliated with Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for James Sondheimer was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.