Active NPI
Rudram Naidu Muppuri, M.D
- Anesthesiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301089888
- Practice address
- 3990 John R St
Detroit, MI 48201-2018 - Phone
- (313) 993-0822
- NPI assigned
- Feb 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 4301089888 | MI | |
| Long Term Care Hospital | 282E00000X | |||
| Anesthesiology Physician | 207L00000X | 4301089888 | MI | Primary |
Addresses
Primary practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
PO Box 64000
DWR 641546
Detroit, MI 48264-0001
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W University Dr
Crittenton Hospital Medical Center
Rochester, MI 48307-1863
Phone (248) 652-5000
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
1221 Pine GRV
Port Huron, MI 48060-3511
21510 Harrington St
Suite 300
Clinton Township, MI 48036-2378
Phone (586) 323-4575
2775 Blake Rd
Jackson, MI 49201-8838
Phone (517) 787-2906
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
50 N Perry St
McLaren Oakland
Pontiac, MI 48342-2217
Phone (248) 338-5000
G3200 Beecher Rd
Suite 2
Flint, MI 48532-3651
Phone (810) 342-4881
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services Associates, PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan PLLC | Anesthesiology | Current | Accepting new patients |
Locations
21510 Harrington St
Ste 300
Clinton Twp, MI 48036
Phone (586) 323-4560
1990 Union Lake Rd
Ste 350
Commerce Twp, MI 48382
Phone (248) 301-5898
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
5302 Gateway Ctr
Flint, MI 48507
Phone (810) 285-9901
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906
432 W University Dr
Rochester, MI 48307
Phone (248) 651-6122
1000 W University Dr
Ste 100
Rochester, MI 48307
Phone (248) 402-0266
5130 Coolidge Hwy
#120
Royal Oak, MI 48073
Phone (248) 288-9500
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
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.
-
- Anesthesiology Physician
- Lapeer, MI
- NPI 1497797153
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1184996530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64000",
"address_2": "DWR 641546",
"city": "DETROIT",
"state": "MI",
"postal_code": "482640001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-993-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUPPURI",
"first_name": "RUDRAM NAIDU",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-01",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "MI",
"license": "4301089888",
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301089888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.