SUDHA CHAKRAVARTY (MD) – Family Medicine Physician, NPI 1205823069
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for SUDHA CHAKRAVARTY (MD)
25990, Crocker Boulevard, Harrison Township, Macomb County, Michigan, 48045, United States
HARRISON TOWNSHIP, MI 480453450
Phone: (586) 466-5211
Fax: (586) 466-5230
Type: Mailing
Vernier Road, Grosse Pointe Woods, Wayne County, Michigan, 48225, United States
HARPER WOODS, MI 482251486
Phone: (313) 245-2400
Fax: (313) 416-1567
Type: Location
24 FRANK LLOYD WRIGHT DRIVE
SUITE J2000
ANN ARBOR, MI 48105
Phone: (734) 747-6766
Fax: (586) 466-5230
Type: Mailing
IHA PRIMARY CARE -FREEDOM
20206 FARMINGTON RD
LIVONIA, MI 48152
Phone: (248) 476-4724
Fax: (313) 416-1567
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: 2004-10-08
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 |
|---|---|---|---|---|
| I20041008001434 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 130 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 110 | 97 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 71 | 71 | $0 |
| 83036 | Hemoglobin a1c level | 46 | 35 | $0 |
Insurance plans in this area (ZIP 48045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice, Sports Medicine | VA | |
| Family Practice, Obstetrics/Gynecology | MI |
Reviews
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