Active NPI
Jyothi A. Kadambi, MD
- Internal Medicine Physician
- West Bloomfield, MI
National Provider Identifier
1215919840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301068554
- Practice address
- 6900 West Orchard Lake Rd Ste 101
West Bloomfield, MI 48322-3424 - Phone
- (248) 855-7565
- Fax
- (248) 855-7404
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301068554 | MI | Primary |
Addresses
Primary practice location
6900 West Orchard Lake Rd Ste 101
West Bloomfield, MI 48322-3424
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1848
Other names 1
- Jyothi Anantharaman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkadambi27553@direct.beaumont.edu |
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
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
31500 Telegraph Rd
Suite 115
Bingham Farms, MI 48025-4302
Phone (248) 621-9200
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Dearborn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068554 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Primary Care Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Xavier MD PC | Internal Medicine | Current | Accepting new patients |
Locations
31500 Telegraph Rd
Ste 115
Bingham Farms, MI 48025
Phone (248) 621-9100
6632 Telegraph Rd
Bloomfld Hls, MI 48301
Phone (248) 621-9100
Interoperability endpoints
- jkadambi1240603@epic00.shdirect.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.
-
- Internal Medicine Physician
- Bingham Farms, MI
- NPI 1174352728
-
- Internal Medicine Physician
- Bingham Farms, MI
- NPI 1265986806
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1215919840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1848",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 WEST ORCHARD LAKE RD STE 101",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223424",
"telephone_number": "248-855-7565",
"fax_number": "248-855-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAMBI",
"first_name": "JYOTHI",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301068554",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkadambi27553@direct.beaumont.edu",
"affiliation": "N",
"address_1": "6900 West Orchard Lake Rd Ste 101",
"city": "West Bloomfield",
"state": "MI",
"country_code": "US",
"postal_code": "483223424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JYOTHI",
"last_name": "ANANTHARAMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.