| Nanjappa C Sadasivan, MD | |
|
2333 Biddle Avenue, Wyandotte, MI 48192 | |
| (734) 677-7400 | |
| (734) 677-7407 |
| Full Name | Nanjappa C Sadasivan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 54 Years |
| Location | 2333 Biddle Avenue, Wyandotte, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386609444 | NPI | - | NPPES |
| 3009503251 | Other | MI | BCBS OF MI |
| B45247 | Other | MI | HEALTH ALLIANCE PLAN NBR |
| 0996742 | Other | MI | HEALTHPLUS |
| 119545 | Other | MI | SELECTCARE |
| 1680573 | Medicaid | MI | |
| 3009503251 | Other | MI | BCN OF MI |
| P00060426 | Other | MI | RR MEDICARE PIN |
| 11293247 | Other | MI | CAQH |
| 321192 | Other | MI | ULTIMED ID NBR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301033633 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nds Radiology Pllc | 2062408875 | 10 |
| Midwest Diagnostic Imaging, Inc | 3274597158 | 3 |
| Lapeer Medical Diagnostics, Pc | 9133359599 | 3 |
| Vmd Primary Providers Eastern Michigan Pc | 9234480575 | 60 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Midwest Diagnostic Imaging, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538178934 PECOS PAC ID: 3274597158 Enrollment ID: O20041119000357 |
| Entity Name | Nds Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649418211 PECOS PAC ID: 2062408875 Enrollment ID: O20090512000117 |
| Entity Name | Lapeer Medical Diagnostics, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316376858 PECOS PAC ID: 9133359599 Enrollment ID: O20140304000720 |
| Entity Name | Vmd Primary Providers Eastern Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900 |
| Mailing Address | Practice Location Address |
|---|---|
| Nanjappa C Sadasivan, MD Po Box 1108, Attn: Barb Simmons, Ann Arbor, MI 48106-1108 Ph: (734) 677-7400 | Nanjappa C Sadasivan, MD 2333 Biddle Avenue, Wyandotte, MI 48192 Ph: (734) 677-7400 |
Ahmad Babaa, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-287-0929 |