Active NPI
Bharathi Dukkipati, M.D.
- Nephrology Physician
- Taylor, MI
National Provider Identifier
1255385993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301076475
- Practice address
- 24555 Haig St
Taylor, MI 48180 - Phone
- (313) 291-7800
- NPI assigned
- May 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301076475 | MI | |
| Nephrology Physician | 207RN0300X | 4301076475 | MI | Primary |
Addresses
Primary practice location
24555 Haig St
Taylor, MI 48180
Mailing address
Henry Ford Health System
15401 East Jefferson
Grosse Pointe Park, MI 48230
Phone (313) 824-4800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 489595510 | Medicaid | MI | |
| BG076475 | Other | CHAMPUS-CHAMPUS | |
| 700H262220 | Other | BLUE CROSS-BLUE CROSS | |
| BG076475 | Other | COMMERCIAL-COMMERCIAL NUMBER |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000203 | MI | Practitioner - Nephrology | 9638175805 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health System
Practice addresses (Care Compare)
1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6064
24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000
24565 Haig St
Taylor, MI 48180-3322
Phone (313) 291-7800
2799 W Grand Blvd
Detroit, MI 48202-2608
Hospital & facility affiliations
- Greenfield HS - Taylor
- Greenfield HS - Dearborn
- Henry Ford Health Hospital
- Wyandotte Hospital and Medical Center
- Beaumont Hospital - Dearborn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Internal Medicine | Current | Accepting new patients |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401
39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710
24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260
Interoperability endpoints
- bdukkipati16865@direct.hfhs.org
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Taylor, MI
- NPI 1518987908
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dearborn, MI
- NPI 1568482958
Dialysis facility
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1255385993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "15401 EAST JEFFERSON",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-824-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24555 HAIG ST",
"city": "TAYLOR",
"state": "MI",
"postal_code": "48180",
"telephone_number": "313-291-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKKIPATI",
"first_name": "BHARATHI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301076475",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301076475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "489595510",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "BG076475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "BG076475",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.