NPIMap

Individual provider Active NPI

Rajesh Dandamudi, M.D.

  • Internal Medicine Physician
  • Bay City, MI
National Provider Identifier
1942490941
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301090070 Issued in MI
Practice address
714 S Trumbull St
Bay City, MI 48708-4217
Phone
(989) 893-5541
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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 4301090070 MI Primary

Addresses

Primary practice location

714 S Trumbull St
Bay City, MI 48708-4217

Mailing address

714 S Trumbull St
Bay City, MI 48708-4217
Phone (989) 893-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000436 MI Practitioner - Internal Medicine 5890983704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Bay Region 110 clinicians
Rau Physical Therapy Inc 98 clinicians
McLaren Medical Group 240 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

193 E Jefferson St
Frankenmuth, MI 48734-1935

4 Columbus Ave
Suite 380
Bay City, MI 48708-6476
Phone (989) 393-2700

5979 Lakeshore Rd
Fort Gratiot, MI 48059-2826
Phone (810) 385-6370

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Bay City, MI, CCN 237165
  • The Care Team Home health agency, Saginaw, MI, CCN 239226
  • Heartland Home Health Home health agency, Midland, MI, CCN 237162
  • Advisacare Home health agency, Flint, MI, CCN 237169
  • Covenant at Home Home health agency, Saginaw, MI, CCN 237431
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • Bay Medical Center for Rehabilitation Inpatient rehabilitation facility, Bay City, MI, CCN 23T041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090070MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
McLaren Medical Group CurrentSince Jun 29, 2018 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Jun 29, 2018 Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

4 Columbus Ave
Ste 380
Bay City, MI 48708
Phone (989) 377-4400

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLaren Bay RegionBay City, MI, CCN 230041 Hospital Corporate Director Feb 1, 2016
McLaren Bay RegionBay City, MI, CCN 23S041 Hospital Corporate Director Feb 1, 2016
McLaren Bay RegionBay City, MI, CCN 23T041 Hospital Corporate Director Feb 1, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1942490941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-893-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-893-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDAMUDI",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.