Active NPI
Kiran Reddi Nandalur, MD
- Diagnostic Radiology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301088653
- Practice address
- 1500 East Medical Center Dr
B1 Floor University Hosp Recp C
Ann Arbor, MI 48109-0030 - Phone
- (734) 936-4566
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301088653 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
B1 Floor University Hosp Recp C
Ann Arbor, MI 48109-0030
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
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
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196
3555 W 13 Mile Rd
N120 Corewell Health William Beaumont Unive
Royal Oak, MI 48073-6710
Phone (248) 551-1550
3577 W 13 Mile Rd
Royal Oak, MI 48073-6710
3581 W 13 Mile Rd BCC
Beaumont Breast Care Center Ro
Royal Oak, MI 48073-6710
Phone (248) 551-3300
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-5190
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
- Lakeland Hospital, St Joseph
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088653 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Beaumont Special Radiological Procedures | Diagnostic Radiology | Past | Accepting new patients |
Locations
3601 W 13 Mile Rd
Royal Oak, MI 48073
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Diagnostic Radiology Physician
- Royal Oak, MI
- NPI 1043220205
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952317752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "B1 FLOOR UNIVERSITY HOSP RECP C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481090030",
"telephone_number": "734-936-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDALUR",
"first_name": "KIRAN",
"middle_name": "REDDI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301088653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.