NPIMap

Individual provider Active NPI

Kavitha Bhagavatula, MD

  • Internal Medicine Physician
  • Westland, MI
National Provider Identifier
1346277647
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080498 Issued in MI
Practice address
35330 Nankin Blvd
Suite 701
Westland, MI 48185-7223
Phone
(734) 266-2525
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301080498 MI Primary

Addresses

Primary practice location

35330 Nankin Blvd
Suite 701
Westland, MI 48185-7223

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbhagavatula114015@direct.beaumont.edu

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
I20060810000505 MI Practitioner - Internal Medicine 5799788857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLC 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

35330 Nankin Blvd
701 Corewell Health Internal Medicine
Westland, MI 48185-7223
Phone (737) 266-2525

Hospital & facility affiliations

  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080498MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Internal Medicine CurrentSince May 3, 2010 Accepting new patients
Michigan Medical Group PC Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients
Oakwood Healthcare, Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince May 3, 2010 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

15500 Lundy Pkwy
Dearborn, MI 48126
Phone (313) 586-5011

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

22348 Wick Rd
Taylor, MI 48180
Phone (313) 292-0140

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

35330 Nankin Blvd
Ste 701
Westland, MI 48185
Phone (734) 266-2525

Interoperability endpoints

  • Direct secure messaging: kbhagavatula114015@direct.beaumont.edu

Organizations & group practices 7

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1346277647",
    "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": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35330 NANKIN BLVD",
            "address_2": "SUITE 701",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857223",
            "telephone_number": "734-266-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGAVATULA",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbhagavatula114015@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "35330 Nankin Blvd",
            "address_2": "Suite 701",
            "city": "Westland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481857223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.