Sanjukta Sridharan, MD - Medicare Family Medicine in Southgate, MI

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Sanjukta Sridharan, MD is a medicare enrolled "Family Medicine" physician in Southgate, Michigan. Her current practice location is 15777 Northline Rd Ste 202, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 246-8100.

Sanjukta Sridharan is licensed to practice in Michigan (license number 4301088767) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083823728.

Contact Information

Sanjukta Sridharan, MD
15777 Northline Rd Ste 202,
Southgate, MI 48195-2354
(734) 246-8100
(734) 324-9527

Map and Direction




Physician's Profile

Full NameSanjukta Sridharan
GenderFemale
SpecialityFamily Medicine
Location15777 Northline Rd Ste 202, Southgate, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083823728
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 04/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042354243
  • Enrollment ID: I20100225000121

Medical Identifiers

Medical identifiers for Sanjukta Sridharan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083823728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301088767 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sanjukta Sridharan allows following entities to bill medicare on her behalf.
Entity NameOakwood Ambulatory Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003829441
PECOS PAC ID: 1850282914
Enrollment ID: O20040320000401
Entity NameSeton Health Corporation Of Southeastern Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598177065
PECOS PAC ID: 2567689540
Enrollment ID: O20140814002590
Entity NameMichigan Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982060935
PECOS PAC ID: 8820396419
Enrollment ID: O20160414001942

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sanjukta Sridharan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sanjukta Sridharan, MD
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: () -		Sanjukta Sridharan, MD
15777 Northline Rd Ste 202,
Southgate, MI 48195-2354

Ph: (734) 246-8100

Reviews and Comments


Family Medicine Doctors in Southgate, MI

Dr. Manish Bolina, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15777 Northline Rd Ste 101, Southgate, MI 48195
Phone: 734-324-9580    
Dr. John Renaldson Orelien, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195
Phone: 734-246-8100    
Dr. Amal Mohamed Ali Abdul-hussein,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12815 Northline Rd, Southgate, MI 48195
Phone: 734-284-2090    
Aaron J Blanzy, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14319 Dix-toledo Rd, Southgate, MI 48195
Phone: 734-285-0677    Fax: 734-285-3574
Dr. Bennett George Riddering, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195
Phone: 734-246-8100    Fax: 734-246-8621
Angela Moughni, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 14319 Dix Toledo Rd, Southgate, MI 48195
Phone: 734-285-0677    Fax: 734-285-3574

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.