Active NPI
Vatsala Katragadda, MD
- Internal Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301066984
- Practice address
- 861 Monroe Street
Dearborn, MI 48124 - Phone
- (313) 274-1800
- Fax
- (313) 274-8717
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301066984 | MI | Primary |
| Specialist | 174400000X | 4301066984 | MI |
Addresses
Primary practice location
861 Monroe Street
Dearborn, MI 48124
Mailing address
861 Monroe Street
Dearborn, MI 48124-2308
Phone (313) 274-0774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104623258 | Medicaid | MI |
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
- Hematology/Oncology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Beecher Rd
Suite B
Flint, MI 48532-3661
Phone (810) 235-8568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Hematology & Oncology | Current | Accepting new patients |
| McLaren Flint | Internal Medicine | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| McLaren Flint | Current | Accepting new patients | |
| Suniti Medical Corporation | Specialist | Current | Accepting new patients |
| Suniti Medical Corporation | Specialist | Current | Accepting new patients |
| McLaren Flint | Internal Medicine | Past | Accepting new patients |
Locations
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Ste 2A
Merrillville, IN 46410
Phone (219) 736-2800
929 Ridge Rd
Ste 5
Munster, IN 46321
Phone (219) 836-2000
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
4100 Beecher Rd
Ste B
Flint, MI 48532
Phone (810) 235-8568
Interoperability endpoints
- vatsala.katragadda@pomh.direct-geniusdoc.com
- vatsala.katragadda@poha.direct-geniusdoc.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
dba premier oncology hematology associates
- Specialist
- Munster, IN
- NPI 1265641195
-
dba Premier Oncology Hematology Assoc
- Specialist
- Merrillville, IN
- NPI 1285667550
-
dba Advanced Obstetrics and Gynecology
- Gynecologic Oncology Physician
- Gary, IN
- NPI 1124283858
-
dba Methodist Oncology Services
- Hematology & Oncology Physician
- Gary, IN
- NPI 1588337406
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Internal Medicine Physician
- Flint, MI
- NPI 1154469229
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1841270634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 MONROE STREET",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242308",
"telephone_number": "313-274-0774",
"fax_number": "313-277-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 MONROE STREET",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "313-274-1800",
"fax_number": "313-274-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATRAGADDA",
"first_name": "VATSALA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301066984",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301066984",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104623258",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.