Individual provider Active NPI

Uday R Kunadi, MD

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1538191093
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076826 Issued in MI
Practice address
414 Perry Rd
Grand Blanc, MI 48439-1467
Phone
(810) 694-8423
Fax
(810) 694-9280
NPI assigned
Jul 7, 2006
Last updated
Nov 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301076826 MI Primary

Addresses

Primary practice location

414 Perry Rd
Grand Blanc, MI 48439-1467

Mailing address

414 Perry Rd
Grand Blanc, MI 48439-1467
Phone (810) 694-8423

Other identifiers 1

IdentifierTypeStateIssuer
4550311MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040131000264 MI Practitioner - Family Practice 5698678027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reddy and Kunadi MD PLCGroup PAC ID 0749579191, 2 clinicians

Practice addresses (Care Compare)

414 Perry Rd
Grand Blanc, MI 48439-1467
Phone (810) 694-8423

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy & Kunadi MD PLC Family Medicine CurrentSince Mar 30, 2016 Accepting new patients

Locations

414 Perry Rd
Grand Blanc, MI 48439
Phone (810) 694-8423

Interoperability endpoints

  • Direct secure messaging: ukunadi1135434@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1538191093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-694-8423",
            "fax_number": "810-694-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-694-8423",
            "fax_number": "810-694-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNADI",
        "first_name": "UDAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4550311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.