Individual provider Active NPI

Renuka Heddurshetti, MD

  • Infectious Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1811003247
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301080813 Issued in MI
Practice address
1854 W Auburn Rd
Suite 200
Rochester Hills, MI 48309-3868
Phone
(248) 853-2323
Fax
(248) 853-8890
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301080813 MI Primary

Addresses

Primary practice location

1854 W Auburn Rd
Suite 200
Rochester Hills, MI 48309-3868

Mailing address

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0871
Phone (888) 220-6432

Other identifiers 1

IdentifierTypeStateIssuer
499612510MedicaidMI

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
I20070605000351 MI Practitioner - Infectious Disease 1557349032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone (586) 446-8688

Hospital & facility affiliations

  • Advanced Professional Home Health Care Services, Inc Home health agency, Troy, MI, CCN 237075
  • Compassus Home Health Home health agency, Warren, MI, CCN 237081
  • Home Care Experts Home health agency, Warren, MI, CCN 239024
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080813MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Feb 27, 2012 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Feb 27, 2012 Accepting new patients
Access Medical Group,PC PastSince Feb 1, 2007 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

1321 S Linden Rd
Ste C
Flint, MI 48532

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

19991 Hall Rd
Ste 105
Macomb, MI 48044
Phone (586) 247-8609

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1854 W Auburn Rd
Ste 200
Rochester Hills, MI 48309
Phone (248) 243-3330

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

Interoperability endpoints

  • Direct secure messaging: rheddurshetti1131811@direct.hfhs.org

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 9

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1811003247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270871",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 W AUBURN RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093868",
            "telephone_number": "248-853-2323",
            "fax_number": "248-853-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDURSHETTI",
        "first_name": "RENUKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301080813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499612510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.