Individual provider Active NPI

Seshagiri Dandamudi, M.D.

  • Allergy Physician
  • Battle Creek, MI
National Provider Identifier
1174503221
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
SD040021 Issued in MI
Practice address
126 College St
Suite B
Battle Creek, MI 49037-3461
Phone
(269) 968-3030
Fax
(269) 968-2103
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X SD040021 MI Primary

Addresses

Primary practice location

126 College St
Suite B
Battle Creek, MI 49037-3461

Mailing address

126 College St.
Suite D
Battle Creek, MI 49037-2331
Phone (269) 969-8920

Other identifiers 1

IdentifierTypeStateIssuer
101391024MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050419001061 MI Practitioner - Allergy/Immunology 4284671603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma Allergy Centers PCGroup PAC ID 9931146347, 9 clinicians

Practice addresses (Care Compare)

126 College St
Suite B
Battle Creek, MI 49037-3461
Phone (269) 968-3030

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SD040021MIMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pradhan Center for Women PLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdandamudi462907@direct.hfhs.org

Organizations & group practices 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1174503221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST.",
            "address_2": "SUITE D",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372331",
            "telephone_number": "269-969-8920",
            "fax_number": "269-224-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "address_2": "SUITE B",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373461",
            "telephone_number": "269-968-3030",
            "fax_number": "269-968-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDAMUDI",
        "first_name": "SESHAGIRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "SD040021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101391024",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.