Active NPI
Lalitha Rudraiah, MD
- Cardiovascular Disease Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301076745
- Practice address
- 15500 19 Mile Rd Ste 360
Clinton Township, MI 48038-6331 - Phone
- (586) 649-9009
- Fax
- (586) 690-8632
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301076745 | MI | Primary |
Addresses
Primary practice location
15500 19 Mile Rd Ste 360
Clinton Township, MI 48038-6331
Mailing address
2689 Solution Center
Chicago, IL 60677-3848
Phone (586) 329-1880
Other practice location 1
133 S Main St
Mount Clemens, MI 48043-2308
Phone (586) 468-1600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lrudraiah252383@direct.hfhs.org |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Health Macomb Oakland Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
2689 Solution Ctr
Chicago, IL 60677
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
15500 19 Mile Rd
Ste 360
Clinton Twp, MI 48038
Phone (313) 286-8840
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880
25195 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 775-4594
49050 Schoenherr Rd
Ste 100
Shelby Township, MI 48315
Phone (586) 532-8700
3500 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 977-9300
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
6773 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 661-6100
Interoperability endpoints
- lrudraiah252383@direct.hfhs.org
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1518124320
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Cardiovascular Disease Physician
- Madison Heights, MI
- NPI 1356775001
-
dba Henry Ford Warren Hospital
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1982787487
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
dba Henry Ford Health System
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1619072055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2689 SOLUTION CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606773848",
"telephone_number": "586-329-1880",
"fax_number": "586-231-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15500 19 MILE RD STE 360",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386331",
"telephone_number": "586-649-9009",
"fax_number": "586-690-8632"
}
],
"practiceLocations": [
{
"address_1": "133 S Main St",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "480432308",
"country_code": "US",
"telephone_number": "586-468-1600",
"fax_number": "586-465-0329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDRAIAH",
"first_name": "LALITHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301076745",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lrudraiah252383@direct.hfhs.org",
"affiliation": "N",
"address_1": "133 S Main St",
"city": "Mount Clemens",
"state": "MI",
"country_code": "US",
"postal_code": "480432308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.