SUDHANSHU PATEL (MD) – Gastroenterology Physician, NPI 1104816370
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
648 GASTROENTEROLOGY in MI
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Provider Addresses for SUDHANSHU PATEL (MD)
Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48066, United States
SUITE 101
ST CLAIR SHORES, MI 480813015
Phone: (586) 447-0700
Fax: (586) 498-0707
Type: Mailing
28963 LITTLE MACK AVE STE 101
SAINT CLAIR SHORES, MI 480813017
Phone: (586) 447-0700
Fax: (586) 447-0795
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 193 Open Payments records for all available years, with a total value of $3,329.
Total Amount is formed as General ($3,329) + Research ($0) + Ownership ($0) = $3,329.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,271).
Total Amount
$3,329
General + Research + Ownership
Payments
193
Total payment records
General Amount
$3,329
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,271 |
| Celgene Corporation | $544 |
| Gilead Sciences, Inc. | $293 |
| Takeda Pharmaceuticals U.S.A., Inc. | $188 |
| Janssen Biotech, Inc. | $180 |
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: 2010-08-14
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 |
|---|---|---|---|---|
| I20100814000045 | I | Gastroenterology | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 388 | 140 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 74 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 85 | 79 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 81 | 79 | $0 |
Insurance plans in this area (ZIP 48081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| - | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| G A S T R O E N T E R O L O G Y | MI |
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