Samba Siva Reddy Bathula, M.D

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301096231 Issued in MI

Practice address

4160 John R St Ste 1007
DMC ENT-Harper Professional Building
Detroit, MI 48201-2017

Phone

(313) 966-9471

Fax

(313) 966-9470

NPI assigned

Aug 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Otolaryngology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
• Harper University Hospital Hospital, Detroit, MI, CCN 230104
• Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
• Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027
• Vibra Hospital of Southeastern Mi-Taylor Campus Long-term care hospital, Taylor, MI, CCN 232019

Merit-based Incentive Payment System (MIPS)

Final score

90.26 of 100Reported as group

Quality

64.16

Promoting interoperability

100

Improvement activities

40

Cost

73.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sambasiva.bathula.1@9704.direct.athenahealth.com
• Direct secure messaging: sbathula@direct.dmc.org

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.

• VHS Physicians of Michigan

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1073827101

  MI

  Medicare reassignment Care Compare group NPD
• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700
  NPD (past)

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

• VHS Detroit Receiving Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1619289998

  Hospital

  Care Compare affiliation
• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700

  Hospital

  Care Compare affiliation
• VHS Rehabilitation Institute of Michigan Inc

  • Rehabilitation Hospital
  • Detroit, MI
  • NPI 1871805150

  Inpatient rehabilitation facility

  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044

  Hospital

  Care Compare affiliation
• Vibra of Southeastern Michigan LLC

  • Long Term Care Hospital
  • Lincoln Park, MI
  • NPI 1508027624

  Long-term care hospital

  Care Compare affiliation
• Vibra of Southeastern Michigan, LLC

  • Long Term Care Hospital
  • Detroit, MI
  • NPI 1447617915

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1013223239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 1007",
            "address_2": "DMC ENT-HARPER PROFESSIONAL BUILDING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012017",
            "telephone_number": "313-966-9471",
            "fax_number": "313-966-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 1007",
            "address_2": "DMC ENT-HARPER PROFESSIONAL BUILDING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012017",
            "telephone_number": "313-966-9471",
            "fax_number": "313-966-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHULA",
        "first_name": "SAMBA SIVA REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "MI",
            "license": "4301096231",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301096231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrich Eric Bates, BACHELOR OF LIBERALS
• Marleesha Bates
• Tracee Lynn Bates
• Yasmine Annette Bates, LLMSW
• Dhanush Bathala, DO
• Steven Batipps, MD
• Lawana Batiste
• Agnya Batra, M.D
• Sanjay Batra, MD
• Surinder K. Batra, M.D.

• All providers in Detroit, MI
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.