Elena Jdanova (NPI# 1073780292, PAC ID# 9931393691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073780292 |
| PAC ID by PECOS | 9931393691 |
| Professional Enrollment ID | I20101027000636 |
| Full Name | Elena Jdanova |
| Organization Legal Name | ACADEMIC INTERNAL MEDICINE SPECIALISTS PLLC |
| Address |
28411 Northwestern Hwy 1050 Southfield MI 48034-5529 |
| Phone Number | 2483544709 |
| Gender | F |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123121969 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230047 | HENRY FORD MACOMB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 | 2483544709 | ACADEMIC INTERNAL MEDICINE SPECIALISTS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ACADEMIC INTERNAL MEDICINE SPECIALISTS PLLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shobana Sankar | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Preeti G Misra | Internal Medicine | Academic Internal Medicine Specialists Pllc | 6071 W Outer Dr, Suite 7, Detroit, MI 48235-2624 |
| Sruthi Jinna | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Daniyeh Khurram | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Jayanthi Chandrasekaran | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Eriwarawe Hettiarachchi | Internal Medicine | Academic Internal Medicine Specialists Pllc | 6071 W Outer Dr, Suite 7, Detroit, MI 48235-2624 |
| Lawrence S Lackey | Internal Medicine | Academic Internal Medicine Specialists Pllc | 6071 W Outer Dr, Suite 7, Detroit, MI 48235-2624 |
| Prateek Lohia | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Marc A Feldman | Internal Medicine | Academic Internal Medicine Specialists Pllc | 6071 W Outer Dr, Suite 7, Detroit, MI 48235-2624 |
| Shazia Essani | Internal Medicine | Academic Internal Medicine Specialists Pllc | 6071 W Outer Dr, Suite 7, Detroit, MI 48235-2624 |
| Street Address |
28411 NORTHWESTERN HWY 1050 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48034-5529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shobana Sankar | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Sruthi Jinna | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Daniyeh Khurram | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Jayanthi Chandrasekaran | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Prateek Lohia | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Niluka Weerakoon | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Oumair Aejaz | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Anuradha Sreenivasan | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Arunalatha Vommi | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Britni L Souther | Internal Medicine | Academic Internal Medicine Specialists Pllc | 28411 Northwestern Hwy 1050, Southfield, MI 48034-5529 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Korial Jerjies Atty | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Bruce E West | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Lisa L Cardwell | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Andrea C Lightbourn | Obstetrics/gynecology | 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 | |
| George A Lightbourn | Urology | 29600 Northwestern Hwy 104, Southfield, MI 48034-1016 | |
| Rashmi Gupta | Neurology | 29592 Northwestern Hwy, Rashmi Gupta Md Sc, Southfield, MI 48034-1019 | |
| Annie Agbor Arrey-mensah | Allergy/immunology | 29355 Northwestern Hwy, Suite 300, Southfield, MI 48034-1045 | |
| Mary M Hillebrand | Psychologist, Clinical | 27288 Apple Blossom Ln, Southfield, MI 48034-1048 | |
| Daneen Heather Locke | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Lisa Marie Pilley | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Find all physicians in zip 48034 | |||
| City | SOUTHFIELD |
| Zip Code | 48034 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOUTHFIELD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Elena Jdanova.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.