Active NPI
Kamalakar China Nerusu, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301091023
- Practice address
- 4201 Saint Antoine St
Ste 5C Uhc
Detroit, MI 48201-2153 - Phone
- (313) 745-7999
- Fax
- (313) 966-6400
- NPI assigned
- May 5, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L1182701 | MI | |
| Internal Medicine Physician | 207R00000X | 4301091023 | MI | Primary |
| Hospitalist Physician | 208M00000X | 4301091023 | MI |
Addresses
Primary practice location
4201 Saint Antoine St
Ste 5C Uhc
Detroit, MI 48201-2153
Mailing address
1560 E Maple Road
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (313) 745-7999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1217 Kearney St
Suite 2
Port Huron, MI 48060-3571
Phone (810) 990-8302
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000
Hospital & facility affiliations
- McLaren Port Huron
- Harper University Hospital
- Detroit Receiving Hospital
- Lake Huron Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1182701 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Michigan Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Barbara Ann Karmanos Cancer Hospital | Past | Accepting new patients | |
| VHS Detroit Receiving Hospital Inc | Past | Accepting new patients | |
| McLaren Port Huron | Past | Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Past | Accepting new patients | |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients |
Locations
4201 Saint Antoine St
Ste 5C
Detroit, MI 48201
Phone (313) 577-5030
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1217 Kearney St
Ste 2
Port Huron, MI 48060
Phone (810) 990-8302
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- knerusu@direct.dmc.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Port Huron, MI
- NPI 1366825986
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Occupational Therapist
- Dearborn, MI
- NPI 1851630206
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1609042183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE ROAD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "313-745-7999",
"fax_number": "313-966-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "STE 5C UHC",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-7999",
"fax_number": "313-966-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERUSU",
"first_name": "KAMALAKAR",
"middle_name": "CHINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "L1182701",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301091023",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301091023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.