Individual provider Active NPI

Basivi Reddy Baddigam, MD

  • Child & Adolescent Psychiatry Physician
  • Clinton TWP, MI
National Provider Identifier
1386645299
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
C203526 Issued in CA
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

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1082559OtherAETNA
1536832OtherUBH
138868OtherMICARECHOICES
045965OtherMIVALUEOPTIONS
2605021781OtherMIBCBSM
0501753OtherMIBCBSM
4769047-10MedicaidMI
819269000OtherMIMAGELLAN
F46966OtherMIHAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050924000059 MI Practitioner - Psychiatry 3870527724 Reassigns benefits to 1 organization
I20260202002273 CA Practitioner - Psychiatry 3870527724 Reassigns benefits to 1 organization

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
Baddigam Family Psychiatric Associates PLLCGroup PAC ID 7719911742, 5 clinicians

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 Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301053679MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baddigam Family Psychiatric Assoc Current Accepting new patients
Baddigam Family Psychiatric Associates PLLC Psychiatry CurrentSince Dec 18, 2001 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry CurrentSince Dec 14, 2025 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry CurrentSince Dec 14, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.