DR. AVIKSHITHA SUDHAKARA (M.D.) – Internal Medicine Physician, NPI 1679937189

DR. AVIKSHITHA SUDHAKARA (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 1679937189 (MI). The NPI Number for DR. AVIKSHITHA SUDHAKARA (M.D.) is 1679937189

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. AVIKSHITHA SUDHAKARA (M.D.)
NPI
1679937189
Phone
Not provided
Address
4201 SAINT ANTOINE ST
Enumeration Date
11 April 2016
Last Update Date
5 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346768530
Graduation Year
2011 (15 years ago)
PAC ID
4789976341
Group Practice PAC ID
0446425425
Professional Enrollment ID
I20210301000544
Address ID
MI481831958TR1675XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. AVIKSHITHA SUDHAKARA (M.D.)

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    UHC 9C

    DETROIT, MI 482012153

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 164 Open Payments records for all available years, with a total value of $3,141.

Total Amount is formed as General ($3,141) + Research ($0) + Ownership ($0) = $3,141.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($496).

Total Amount

$3,141

General + Research + Ownership

Payments

164

Total payment records

General Amount

$3,141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-03-01

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
I20210301000544IInternal MedicineMITBD

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 48201)

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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: 0446425425View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. AVIKSHITHA SUDHAKARA (M.D.)?
Save NPI 1679937189 if you need a stable reference for DR. AVIKSHITHA SUDHAKARA (M.D.).
Is DR. AVIKSHITHA SUDHAKARA (M.D.) active in the national directory?
DR. AVIKSHITHA SUDHAKARA (M.D.)'s public NPI profile is in an active state.
What does DR. AVIKSHITHA SUDHAKARA (M.D.) treat or focus on?
Patients typically see DR. AVIKSHITHA SUDHAKARA (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. AVIKSHITHA SUDHAKARA (M.D.)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for DR. AVIKSHITHA SUDHAKARA (M.D.).
How can I contact DR. AVIKSHITHA SUDHAKARA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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