Individual provider Active NPI

Rajendra Katragadda, MD

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1811974017
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301073378 Issued in MI
Practice address
1260 Ekhart St NE
Grand Rapids, MI 49503-1372
Phone
(616) 356-5202
Fax
(616) 458-9845
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301073378 MI Primary

Addresses

Primary practice location

1260 Ekhart St NE
Grand Rapids, MI 49503-1372

Mailing address

1260 Ekhart St NE
Grand Rapids, MI 49503-1372
Phone (616) 356-5202

Other identifiers 1

IdentifierTypeStateIssuer
4743327MedicaidMI

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
I20050719001065 MI Practitioner - Internal Medicine 3173550357 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dumitru Medical Center, P.C. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Suresh M Dasani MD Inc PastSince Jan 1, 2002 Accepting new patients

Locations

38300 Van Dyke Ave
Ste 104
Sterling Hts, MI 48312
Phone (586) 274-4699

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811974017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 EKHART ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031372",
            "telephone_number": "616-356-5202",
            "fax_number": "616-458-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EKHART ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031372",
            "telephone_number": "616-356-5202",
            "fax_number": "616-458-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRAGADDA",
        "first_name": "RAJENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4743327",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.