Active NPI
Nadimpalli V Raju, MD
- Psychiatry Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301039665
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (313) 343-3457
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301039665 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
6529 Burtonwood Dr
West Bloomfield, MI 48322-3244
Phone (248) 730-0994
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
- Psychiatry
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Waterman St
Detroit, MI 48209-2022
Phone (313) 841-8900
8600 Woodward Ave
Nso/Life Choices
Detroit, MI 48202-2142
Phone (313) 875-7601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Counseling Solutions | Psychiatry | Current | Accepting new patients |
| Neighborhood Service Organization | Current | Accepting new patients | |
| Nadimpalli Raju MD PC | Psychiatry | Past | Accepting new patients |
Locations
220 Bagley St
Ste 1200
Detroit, MI 48226
Phone (313) 961-7990
5716 Michigan Ave
Detroit, MI 48210
Phone (313) 554-1095
8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601
1700 Waterman St
Detroit, MI 48209
Phone (313) 841-8900
35180 Nankin Blvd
Ste 205
Westland, MI 48185
Phone (313) 875-7601
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.
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1891825808
-
- Psychiatry Physician
- Detroit, MI
- NPI 1386756153
-
- Psychiatry Physician
- Detroit, MI
- NPI 1043523558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1700834827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6529 BURTONWOOD DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223244",
"telephone_number": "248-730-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJU",
"first_name": "NADIMPALLI",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301039665",
"primary": true
}
],
"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 Nov 8, 2013; 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.