Lingareddy Devireddy, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

4301032513 Issued in MI

Practice address

11900 E 12 Mile Rd
Suite 103
Warren, MI 48093-3487

Phone

(586) 574-0890

Fax

(586) 574-9321

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 15

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

72.18 of 100Reported as individual

Quality

39.38

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldevireddy1125107@direct.hfhs.org

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.

• Henry Ford Health Macomb Oakland Hospital

  • Cardiovascular Disease Physician
  • Warren, MI
  • NPI 1518124320
  Medicare reassignment NPD
• Henry Ford Health Macomb Oakland Hospital

  dba Henry Ford Warren Hospital

  • Nurse Practitioner
  • Warren, MI
  • NPI 1578696092
  Medicare reassignment NPD
• Narsimha Gottam M.D. P C

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1538348172
  Medicare reassignment NPD
• Henry Ford Health Macomb-Oakland Hospital

  dba Medical Resources Group

  • Family Medicine Physician
  • Madison Heights, MI
  • NPI 1720390453
  NPD
• Ascension Medical Group Michigan

  dba Henry Ford Semi Medical Group

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1396913893
  NPD (past)
• Harper Hutzel Hospital

  • Clinic/Center
  • Detroit, MI
  • NPI 1417150327
  NPD (past)
• Henry Ford Health St. John Hospital

  dba Henry Ford St John Hospital

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1912965088
  NPD (past)
• Infinity Medical Group, PLLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1548216997
  NPD (past)
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1386680494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933487",
            "telephone_number": "586-574-0890",
            "fax_number": "586-574-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933487",
            "telephone_number": "586-574-0890",
            "fax_number": "586-574-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIREDDY",
        "first_name": "LINGAREDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301032513",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301032513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "100566",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110E014810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "109256",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNI",
            "identifier": "52410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "A74279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "A8783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCM",
            "identifier": "0383495817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0600039840M95180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS",
            "identifier": "1110800008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ULTIMED",
            "identifier": "321304",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108252010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "109256",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "110E014810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE",
            "identifier": "0000002170A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMART",
            "identifier": "038349581701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Detroit Macomb-Oakland Hospital Corporation (Macomb Hospital Academic Medical Group)
• Detroit Osteopathic Hospital Corporation (Henry Ford Macomb Hospital - Warren Campus)
• Detroit Oxygen & Medical Equipment Co.
• Lani Devaney, D.O.
• Marchelle Devine
• Devoted Dental Group Warren PLLC
• Stephen F Dewitt, MD
• Gillian Deyoung, P.T.
• Dhafer S. Salama M.D. P.C.
• Gundip Singh Dhillon, DO

• Interventional Cardiology Physician in Warren, MI
• Providers in Warren, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.

Verify at the official NPI Registry.