Satyamurthy Kotamraju, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

4301042052 Issued in MI

Practice address

11457 Shoemaker St
Detroit, MI 48213-3418

Phone

(313) 331-3435

Fax

(313) 924-0605

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Psychiatry

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• West Bloomfield Psychiatric Services PLLC

  • Psychiatry Physician
  • West Bloomfield, MI
  • NPI 1376010140
  Medicare reassignment NPD Authorized official
• All Well-Being Services

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1679663546
  Medicare reassignment NPD
• Adult Well Being Services

  • Case Management Agency
  • Detroit, MI
  • NPI 1023353984
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083626501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11457 SHOEMAKER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133418",
            "telephone_number": "313-331-3435",
            "fax_number": "313-924-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11457 SHOEMAKER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133418",
            "telephone_number": "313-331-3435",
            "fax_number": "313-924-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAMRAJU",
        "first_name": "SATYAMURTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301042052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Kossick, PA-C
• Olivia Kostadinovski, DPT
• Sarah Jo Koste
• Diana Kostoff, B.S.PHARM, PHARM.D.
• Jessica Emily Kota, LLMSW
• Sujatha Kotamraju, M.D.
• Shagane Nicole Kotcharian, MD
• Jennifer Rae Kotcher
• Bharat Kotha
• Mansi Kothari

• Clinical Neurophysiology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Neurophysiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.