Individual provider Active NPI

Hima Katkuri, MD

  • Internal Medicine Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1659501401
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301089474 Issued in MI
Practice address
19251 Mack Ave
Suite 335
Grosse Pointe Woods, MI 48236-2893
Phone
(313) 343-3329
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301089474 MI Primary

Addresses

Primary practice location

19251 Mack Ave
Suite 335
Grosse Pointe Woods, MI 48236-2893

Mailing address

19251 Mack Ave
Suite 335
Grosse Pointe Woods, MI 48236-2893
Phone (313) 343-3329

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
I20100915000519 MI Practitioner - Internal Medicine 1052436904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Hospitalists and Internists PCGroup PAC ID 6709207285, 3 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Ascension Providence Rochester
Rochester, MI 48307-1863
Phone (248) 652-5232

Hospital & facility affiliations

  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Merit-based Incentive Payment System (MIPS)

Final score
49.76 of 100Reported as individual
Quality
62.57
Improvement activities
0
Cost
70.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089474MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Inpatient Hospitalists and Internists, PC Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

11900 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5890

Interoperability endpoints

  • Direct secure messaging: hkatkuri1134231@direct.hfhs.org

Organizations & group practices 3

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 1

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1659501401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 MACK AVE",
            "address_2": "SUITE 335",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362893",
            "telephone_number": "313-343-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 MACK AVE",
            "address_2": "SUITE 335",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362893",
            "telephone_number": "313-343-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATKURI",
        "first_name": "HIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.