KAROLINE SUZANNE PUDER (MD) – Maternal & Fetal Medicine Physician, NPI 1790722288

KAROLINE SUZANNE PUDER (MD) is a healthcare provider. based in Royal oak, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 4301059142 (MI). The NPI Number for KAROLINE SUZANNE PUDER (MD) is 1790722288

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
KAROLINE SUZANNE PUDER (MD)
NPI
1790722288
Phone
(248) 898-2070
Address
3601 W 13 Mile Rd
Enumeration Date
1 June 2006
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
2488985058
Graduation Year
1988 (38 years ago)
PAC ID
2567474703
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20060707000017
Address ID
MI480736712RO3601XECXX601

Contacts

Secure Messaging
kpruder957238@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,734 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for KAROLINE SUZANNE PUDER (MD)

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-2070

    Type: Location

  • 44199 Dequindre Rd Ste 415

    Troy, MI 480851128

    Phone: (248) 964-5129

    Type: Location

  • 18181 Oakwood Blvd Ste 410

    Dearborn, MI 481244082

    Phone: (313) 982-5430

    Type: Location

  • 16815 E Jefferson Ave Ste 240

    Grosse Pointe, MI 482301923

    Phone: (313) 473-4690

    Type: Location

  • 18181 Oakwood Blvd Ste 306

    Dearborn, MI 481243998

    Phone: (313) 593-7521

    Type: Location

  • Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • West 13 Mile Road, Beverly Hills, Southfield Township, Oakland County, Michigan, 48025, United States

    BEVERLY HILLS, MI 480255439

    Phone: (248) 712-4120

    Fax: (248) 792-5243

    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: 2006-07-07

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
I20060707000017IObstetrics/GynecologyMITBD

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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What identifier follows KAROLINE SUZANNE PUDER (MD) across health systems?
The NPI 1790722288 uniquely identifies KAROLINE SUZANNE PUDER (MD) in U.S. healthcare data.
Is KAROLINE SUZANNE PUDER (MD) currently accepting referrals based on NPI status?
Registry metadata lists KAROLINE SUZANNE PUDER (MD) as active.
What services align with KAROLINE SUZANNE PUDER (MD)'s listing?
KAROLINE SUZANNE PUDER (MD)'s public classification highlights Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAROLINE SUZANNE PUDER (MD)?
KAROLINE SUZANNE PUDER (MD) is associated with Royal Oak, Michigan in the same public data insurers reference.
Can I export KAROLINE SUZANNE PUDER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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