NPIMap

Individual provider Active NPI

Neethi Venkatappa Gowda, MD

  • Infectious Disease Physician
  • Sterling Heights, MI
National Provider Identifier
1215341805
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301500351 Issued in MI
Practice address
43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone
(586) 446-8688
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301112419 MI
Student in an Organized Health Care Education/Training Program 390200000X MT206833 PA
Infectious Disease Physician 207RI0200X 4301500351 MI Primary

Addresses

Primary practice location

43134 Dequindre Rd
Sterling Heights, MI 48314-1723

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-8033

Other practice location 1

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715001342 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 9931421922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone (586) 446-8688

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301112419MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Jul 3, 2019 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Jul 3, 2019 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201

2520 S Telegraph Rd
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 745-5600

6770 Dixie Hwy
Ste 204
Clarkston, MI 48346

7210 N Main St
Ste 103
Clarkston, MI 48346
Phone (248) 620-3376

1411 W Main St
Gaylord, MI 49735
Phone (630) 655-6748

4331 E Grand River Ave
Howell, MI 48843

19991 Hall Rd
Ste 105
Macomb, MI 48044
Phone (586) 247-8609

2549 Jolly Rd
Ste 360
Okemos, MI 48864
Phone (517) 347-2222

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

18285 E 10 Mile Rd
Ste 150
Roseville, MI 48066
Phone (586) 526-3550

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

Interoperability endpoints

  • Direct secure messaging: ngowda1130440@direct.hfhs.org

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1215341805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43134 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141723",
            "telephone_number": "586-446-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "NEETHI",
        "middle_name": "VENKATAPPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301112419",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT206833",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301500351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.