Narayana Reddi Nandalur, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301049885 Issued in MI

Practice address

43171 Dalcoma Dr
Suite 1
Clinton TWP, MI 48038-6307

Phone

(586) 263-9600

Fax

(586) 263-9336

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Narayana N Reddi Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nreddinandalur248911@direct.hfhs.org

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.

• Henry Ford Macomb Hospital Corporation

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1134265986
  Medicare reassignment NPD
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD
• Eds Associates

  • Cardiovascular Disease Physician
  • Mt Clemens, MI
  • NPI 1215089206
  NPD (past)
• Northland Radiology Inc

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1386804060

  Cardiovascular Disease

  NPD (past)
• Northland Radiology Inc.

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
  • NPI 1225652993
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1720196579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE 1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-263-9600",
            "fax_number": "586-263-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE 1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-263-9600",
            "fax_number": "586-263-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDALUR",
        "first_name": "NARAYANA",
        "middle_name": "REDDI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301049885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0605005782",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103408167",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARAYANA",
            "last_name": "REDDI",
            "middle_name": "N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Raed Najar
• Tawfiq E Nakhleh, D.O.
• Ramakrishna Nallapaneni, DDS
• Jessica Barbara Namou
• Nancy J Frantz DO PC
• Bridgette Anna Nanni, LLMSW
• Hira Fatima Naqvi, DO
• Eliza Naomi Nasaudeanu, OTRL
• Sasha Elizabeth Nash, B.S.
• Sharmila Nasrin, DO

• Cardiovascular Disease Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.