NPIMap

Individual provider Active NPI

Lalitha Koneru, MD

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1356569644
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080772 Issued in MI
Practice address
8244 Metro Pkwy Ste C
Sterling Heights, MI 48312-2778
Phone
(586) 795-4060
Fax
(586) 795-5596
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 4301080772 MI Primary

Addresses

Primary practice location

8244 Metro Pkwy Ste C
Sterling Heights, MI 48312-2778

Mailing address

8244 Metro Pkwy Ste C
Sterling Heights, MI 48312-2778
Phone (586) 795-4060

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
I20040427001213 MI Practitioner - Internal Medicine 1254328743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Diagnostic Imaging, PLLCGroup PAC ID 8022117852, 5 clinicians
Macomb Physicians Group PLLCGroup PAC ID 2365355625, 9 clinicians

Practice addresses (Care Compare)

8244 Metro Pkwy
Suite B
Sterling Heights, MI 48312-2778
Phone 5867954060107

8244 Metropolitan Pkwy
Suite C
Sterling Heights, MI 48312-2778
Phone (586) 795-4060

Hospital & facility affiliations

  • CNS Homecare, Inc Home health agency, Troy, MI, CCN 237750
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080772MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Physicians Group, PLLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Metro Diagnostic Imaging, PLLC Internal Medicine CurrentSince Jan 19, 2021 Accepting new patients
Simed PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
A-1 Family Medical Center,LLC. CurrentSince Jun 16, 2012 Accepting new patients
Henry Ford Health System Internal Medicine Past Accepting new patients

Locations

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
Fl 4
Detroit, MI 48235
Phone (313) 966-3250

6001 W Outer Dr
Ste 114
Detroit, MI 48235
Phone (313) 966-9095

6071 W Outer Dr
#7E
Detroit, MI 48235
Phone (313) 966-4797

6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

8244 Metropolitan Pkwy
Ste B
Sterling Heights, MI 48312
Phone (586) 795-4060

8244 Metropolitan Pkwy
Ste C
Sterling Heights, MI 48312
Phone (586) 795-4060

4810 Beauregard St
Ste 206B
Alexandria, VA 22312
Phone (703) 916-1211

Interoperability endpoints

  • Direct secure messaging: lkoneru1135041@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.

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1356569644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8244 METRO PKWY STE C",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122778",
            "telephone_number": "586-795-4060",
            "fax_number": "586-795-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 METRO PKWY STE C",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122778",
            "telephone_number": "586-795-4060",
            "fax_number": "586-795-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONERU",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.