Active NPI
Basivi Reddy Baddigam, MD
- Child & Adolescent Psychiatry Physician
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- C203526
- Practice address
- 43211 Dalcoma Dr Ste 3
Clinton TWP, MI 48038-6309 - Phone
- (586) 263-6812
- Fax
- (586) 263-6835
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | C203526 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301053679 | MI | |
| Psychiatry Physician | 2084P0800X | 4301053679 | MI |
Addresses
Primary practice location
43211 Dalcoma Dr Ste 3
Clinton TWP, MI 48038-6309
Mailing address
PO Box 407
Union City, CA 94587-0407
Phone (248) 895-4409
Other practice location 1
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026
Other practice location 2
290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2100
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1082559 | Other | AETNA | |
| 1536832 | Other | UBH | |
| 138868 | Other | MI | CARECHOICES |
| 045965 | Other | MI | VALUEOPTIONS |
| 2605021781 | Other | MI | BCBSM |
| 0501753 | Other | MI | BCBSM |
| 4769047-10 | Medicaid | MI | |
| 819269000 | Other | MI | MAGELLAN |
| F46966 | Other | MI | HAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
43211 Dalcoma Dr
Suite 3
Clinton Township, MI 48038-6309
Phone (586) 263-6812
Hospital & facility affiliations
- Henry Ford Macomb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301053679 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baddigam Family Psychiatric Assoc | Current | Accepting new patients | |
| Baddigam Family Psychiatric Associates PLLC | Psychiatry | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Rd Senior Care Services PC | Past | Accepting new patients |
Locations
540 W Baseline Rd
Ste 3
Claremont, CA 91711
Phone (909) 542-0633
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
43211 Dalcoma Dr
Ste 3
Clinton Twp, MI 48038
Phone (586) 263-6812
215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010
Interoperability endpoints
- bbaddigam10588@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.
-
- Psychiatry Physician
- Clinton Township, MI
- NPI 1093899569
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
-
- Clinical Psychologist
- Clinton TWP, MI
- NPI 1033393442
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
-
- Gerontology Clinical Nurse Specialist
- White Lake, MI
- NPI 1336188101
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1386645299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945870407",
"telephone_number": "248-895-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43211 DALCOMA DR STE 3",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480386309",
"telephone_number": "586-263-6812",
"fax_number": "586-263-6835"
}
],
"practiceLocations": [
{
"address_1": "1809 W Redlands Blvd",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923738054",
"country_code": "US",
"telephone_number": "909-335-3026",
"fax_number": "909-335-3026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "290 Ioof Ave",
"address_purpose": "LOCATION",
"city": "Gilroy",
"state": "CA",
"postal_code": "950205204",
"country_code": "US",
"telephone_number": "408-846-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADDIGAM",
"first_name": "BASIVI",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C203526",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301053679",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301053679",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1082559",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "1536832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECHOICES",
"identifier": "138868",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "045965",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "2605021781",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0501753",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4769047-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "819269000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "F46966",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.