Sailaja Peddireddy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

#4301075965 Issued in MI

Practice address

23077 Greenfield Rd
Suite 240
Southfield, MI 48075-3709

Phone

(248) 809-6402

Fax

(248) 809-6417

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Junction Clinic Health Center PLLCGroup PAC ID 4486022290, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sailaja.peddireddy@jchcp-mi.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Junction Clinic Health Center PLLC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1720700602

  MI

  Medicare reassignment Care Compare group NPD
• Junction Clinic

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1285813154

  MI

  Medicare reassignment NPD
• Ribhi Hazin MD PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1457727307

  Internal Medicine

  NPD
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1225215569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 240",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-809-6402",
            "fax_number": "248-809-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 240",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-809-6402",
            "fax_number": "248-809-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDDIREDDY",
        "first_name": "SAILAJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "#4301075965",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301075965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-5485614",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENS",
            "identifier": "SP075965",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F336360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Lewis Pearlstein, LMSW ACSW
• Jessica Marie Pearo
• Ashley Pearson
• Lossie Shevetta Pearson, MA, LPC
• Raven Pearson
• Pedicenter Associates, P.C.
• Pedo Ortho of Michigan PLLC
• Ahmiyah Peete
• Peggy Cheng, M.D., PLLC
• Diamond Keaya Pegues

• All providers in Southfield, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.