Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sudesh J Ebenezer, MD, EDM, FRCSC

Individual provider Neurological Surgery Physician · NPI 1508824525

Sudesh J Ebenezer, MD, EDM, FRCSC is a Neurosurgery in Flint, Michigan. Qualified in 2000, 26 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
26
Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 S Saginaw St Ste 1800
Flint, MI 48507-2677
Phone: (810) 732-8336
Fax: (810) 963-1674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 — (618) 351-4972

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4301099586 (MI)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 036175459 (IL)

Record details

NPI number1508824525
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , EDM , FRCSC
Sole proprietorYes
NPI enumeratedMay 1, 2006
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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