SUPRIYA BHANDARI (M.D.) – Internal Medicine Physician, NPI 1033643655

SUPRIYA BHANDARI (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301502133 (MI). The NPI Number for SUPRIYA BHANDARI (M.D.) is 1033643655

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SUPRIYA BHANDARI (M.D.)
NPI
1033643655
Phone
Not provided
Address
3601 W 13 MILE RD
Enumeration Date
20 April 2017
Deactivation Date
27 November 2017
Reactivation Date
16 December 2017
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6022437277
Graduation Year
2014 (12 years ago)
PAC ID
8628466752
Group Practice PAC ID
8325949647
Professional Enrollment ID
I20211022000925
Address ID
AZ852821614TE1840XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for SUPRIYA BHANDARI (M.D.)

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone:

    Type: Mailing

  • 3003 N CENTRAL AVE STE 1600

    PHOENIX, AZ 850122908

    Phone:

    Type: Mailing

  • 1840 E BROADWAY RD

    TEMPE, AZ 852821614

    Phone: (602) 243-7277

    Fax: (480) 927-1092

    Type: Location

  • 2901 N CENTRAL AVE

    ST 160

    PHOENIX, AZ 850122700

    Phone:

    Type: Mailing

  • 1300 S COUNTRY CLUB DR STE 3

    MESA, AZ 852105162

    Phone: (480) 827-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211022000925IInternal MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325949647View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Registered Dietitian Or Nutrition ProfessionalCA
Physician AssistantAZ
Physician AssistantAZ
Nurse PractitionerAZ
Registered Dietitian Or Nutrition ProfessionalAZ
Clinical PsychologistAZ
Nurse PractitionerAZ
Clinical Social WorkerAZ
Registered Dietitian Or Nutrition ProfessionalAZ

Reviews

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Frequently asked questions

Does SUPRIYA BHANDARI (M.D.) have a public NPI I can cite?
Public records show SUPRIYA BHANDARI (M.D.) under NPI 1033643655.
Should I treat SUPRIYA BHANDARI (M.D.) as an active provider?
Patients and plans typically see SUPRIYA BHANDARI (M.D.) as active in the national extract.
How should patients interpret SUPRIYA BHANDARI (M.D.)'s specialty?
The extract shows Internal Medicine Physician for SUPRIYA BHANDARI (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to SUPRIYA BHANDARI (M.D.)?
SUPRIYA BHANDARI (M.D.) shows a connection to Royal Oak, Michigan in registry-derived data.
Why is information missing for SUPRIYA BHANDARI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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