Individual provider Active NPI

Shruti Ramakrishna, M.D.

  • Family Medicine Physician
  • Grosse Pointe, MI
National Provider Identifier
1700220654
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301103243 Issued in MI
Practice address
16815 E Jefferson Ave Ste 120
Grosse Pointe, MI 48230-1923
Phone
(586) 498-4400
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 4301103243 MI Primary

Addresses

Primary practice location

16815 E Jefferson Ave Ste 120
Grosse Pointe, MI 48230-1923

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1566
Phone (586) 498-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sramakrishna47258@direct.beaumont.edu

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
I20170929000647 MI Practitioner - Family Practice 2567768872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

16815 E Jefferson Ave
Grosse Pointe, MI 48230-1923

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC CurrentSince Jun 18, 2018 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jun 18, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

15200 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 417-6100

16815 E Jefferson Ave
Ste 120
Grosse Pointe Shores, MI 48230
Phone (586) 498-4400

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

21400 E 11 Mile Rd
St Clr Shores, MI 48081
Phone (586) 498-4400

Organizations & group practices 4

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 4

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1700220654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 E JEFFERSON AVE STE 120",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301923",
            "telephone_number": "586-498-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21400 E 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811566",
            "country_code": "US",
            "telephone_number": "586-498-4400",
            "fax_number": "586-498-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAKRISHNA",
        "first_name": "SHRUTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301103243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sramakrishna47258@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "16815 E Jefferson Ave Ste 120",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.