SUPRIYA BHANDARI (M.D.) – Internal Medicine Physician, NPI 1033643655
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211022000925 | I | Internal Medicine | AZ | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Registered Dietitian Or Nutrition Professional | CA | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Registered Dietitian Or Nutrition Professional | AZ | |
| Clinical Psychologist | AZ | |
| Nurse Practitioner | AZ | |
| Clinical Social Worker | AZ | |
| Registered Dietitian Or Nutrition Professional | AZ |
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