Venkat Ramana Modukuru, MBBS MD MRCS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301109465 Issued in MI

Practice address

29000 Little Mack Ave
Hawasli & Associates Surgical Specialists ,P.C
Saint Clair Shores, MI 48081-3018

Phone

(586) 774-8811

NPI assigned

Dec 2, 2013

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

98.51 of 100Reported as apm

Quality

84.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: venkatmodukuru@nslijmedgr.allscriptsdirect.net

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.

• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment NPD
• Hawasli & Associates Surgical Specialists, P.C.

  • Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1457567117
  NPD (past)
• Henry Ford Health St. John Hospital

  dba Henry Ford St John Hospital

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1912965088

  Surgery

  NPD (past)
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1841621752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE",
            "address_2": "HAWASLI & ASSOCIATES SURGICAL SPECIALISTS ,P.C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE",
            "address_2": "HAWASLI & ASSOCIATES SURGICAL SPECIALISTS ,P.C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018",
            "telephone_number": "586-774-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODUKURU",
        "first_name": "VENKAT",
        "middle_name": "RAMANA",
        "name_prefix": "Dr.",
        "credential": "MBBS MD MRCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301109465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vince Edward Mitchell, DDS
• Mitten Center for Psychological Trauma, LLC (Mitten Center for Psychological Trauma)
• Loretta Mitton, MA, LLP
• MJ Senior Homecare, LLC (Visiting Angels of Grosse Pointe)
• Kathryn Mlynarek
• Joram O Mogaka, MD
• Brilio Conrado Mojares, MD
• Gail Ellen Molinari, D.D.S., M.S., M.S.
• Joanna Maria Monaco, LLMSW
• Courtney Lynn Monreal, LMSW

• Surgery Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.

Verify at the official NPI Registry.