Individual provider Active NPI

Srilatha Mallu, M.D.

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1013126358
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME133784 Issued in FL
Practice address
2799 W Grand Blvd
Henry Ford Hospital
Detroit, MI 48202-2608
Phone
(313) 916-4872
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35-096328 OH
Anesthesiology Physician 207L00000X 4301079527 MI
Anesthesiology Physician 207L00000X ME133784 FL Primary

Addresses

Primary practice location

2799 W Grand Blvd
Henry Ford Hospital
Detroit, MI 48202-2608

Mailing address

28849 Hearthstone Dr
Novi, MI 48377-2722
Phone (248) 438-1038

Other names 1

  • Srilatha Vodur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130001559 FL Practitioner - Anesthesiology 2961590971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medicine Services of FL LLCGroup PAC ID 9537524343, 166 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

6700 Lake Nona Blvd
HCA Ucf Lake Nona Medical Center
Orlando, FL 32827-7729
Phone (689) 216-8000

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (407) 359-4503

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133784FLMDAnesthesiology Physician
35-096328OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medicine Services of FL, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 20, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Dec 20, 2017 Accepting new patients
Henry Ford West Bloomfield Hospital Anesthesiology Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1013126358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28849 HEARTHSTONE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772722",
            "telephone_number": "248-438-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "HENRY FORD HOSPITAL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLU",
        "first_name": "SRILATHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-096328",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301079527",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME133784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRILATHA",
            "last_name": "VODUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.