Individual provider Active NPI

Roja R. Ramisetty, M.D.

  • Gastroenterology Physician
  • Southfield, MI
National Provider Identifier
1811019458
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301082571 Issued in MI
Practice address
27211 Lahser Rd
Southfield, MI 48034-8469
Phone
(248) 809-1001
Fax
(248) 809-1005
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301082571 MI
Gastroenterology Physician 207RG0100X 4301082571 MI Primary

Addresses

Primary practice location

27211 Lahser Rd
Southfield, MI 48034-8469

Mailing address

1611 Monroe St
Dearborn, MI 48124-2912
Phone (313) 254-4039

Other identifiers 1

IdentifierTypeStateIssuer
5315025246OtherMICSR

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
I20070727000796 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 5092816504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23801 W Warren St
Dearborn Heights, MI 48127-2276
Phone (734) 578-4913

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301082571MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Multispecialty Physicians PLLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
VHS Physicians of Michigan Internal Medicine CurrentSince Dec 3, 2017 Accepting new patients
Plexus Gastro PLLC Gastroenterology CurrentSince Dec 1, 2023 Accepting new patients

Locations

1611 Monroe St
Dearborn, MI 48124
Phone (313) 254-4039

23801 W Warren St
Dearborn Hts, MI 48127
Phone (313) 908-5856

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6501 Greenfield Rd
Detroit, MI 48228
Phone (313) 281-2225

25130 Southfield Rd
Ste 105
Southfield, MI 48075
Phone (248) 234-6790

25130 Southfield Rd
Ste 230
Southfield, MI 48075
Phone (248) 234-6790

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

25130 Southfield Rd
Ste 120
Southfield, MI 48075
Phone (248) 234-6790

9025 Pardee Rd
Taylor, MI 48180
Phone (313) 315-1422

Interoperability endpoints

  • Direct secure messaging: rramisetty790542@direct.hfhs.org

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.

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811019458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242912",
            "telephone_number": "313-254-4039",
            "fax_number": "313-254-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27211 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348469",
            "telephone_number": "248-809-1001",
            "fax_number": "248-809-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMISETTY",
        "first_name": "ROJA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301082571",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301082571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "5315025246",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.