Sitaramaraju Rudraraju, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301064469 Issued in MI

Practice address

4646 John R St
Detroit, MI 48201

Phone

(248) 474-1449

Fax

(313) 576-1123

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1699889030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24986 TODDY LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352078",
            "telephone_number": "248-474-1449",
            "fax_number": "313-576-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "248-474-1449",
            "fax_number": "313-576-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDRARAJU",
        "first_name": "SITARAMARAJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301064469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Rudnev, MSN, RN, FNP-C
• April Rudolph-Berry
• Contessa Rudolph
• Harold Alphonso Rudolph
• Kara Rudolph, RBT, CBT
• Trevor Christian Ruesch
• Sarah Rose Ruff, LLMSW
• Tiffany Ruff, LPC
• Toyoda Ruff
• Jerrell J Ruffin III

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.