Sruthi Kondur, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301086330 Issued in MI

Practice address

6255 Inkster Rd Ste 105
Garden City, MI 48135-2538

Phone

(313) 831-4800

Fax

(313) 495-7104

NPI assigned

May 24, 2007

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srudrara2@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.

• Michigan Interventional Pain Center,PC

  • Interventional Pain Medicine Physician
  • Brownstown TWP, MI
  • NPI 1053356774
  Medicare reassignment NPD
• University Pain Clinic Associates, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Detroit, MI
  • NPI 1598138661
  Medicare reassignment NPD
• Lakes Anesthesia, PLC

  • Anesthesiology Physician
  • Farmington Hills, MI
  • NPI 1144261967
  NPD (past)
• Michigan Interventional Pain Associates PLLC

  • Anesthesiology Physician
  • West Bloomfield, MI
  • NPI 1861819161
  NPD (past)
• The Berry Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Farmington Hills, MI
  • NPI 1316994122
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1023229036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 105",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "313-831-4800",
            "fax_number": "313-495-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 105",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "313-831-4800",
            "fax_number": "313-495-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDUR",
        "first_name": "SRUTHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301086330",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301086330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gari F King Jr., CRNA
• Ishan Kirti
• Amanda Kischuk
• Roger M Klein, M.D.
• Darrell Scott Knick, P.T.
• Matthew Joseph Kovie, D.O.
• Rylee Mae Krzywdzinski
• Max Kuang
• Daniel R Kunzler, MD
• John E Kurtz, M.D.

• Interventional Pain Medicine Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.