Dr Sruthi Kondur, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Garden City, Michigan. Her current practice location is
6255 Inkster Rd Ste 105, Garden City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 831-4800.
Dr Sruthi Kondur is licensed to practice in Michigan (license number 4301086330) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023229036.
Physician's Profile
Full Name | Dr Sruthi Kondur |
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Gender | Female |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 6255 Inkster Rd Ste 105, Garden City, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023229036
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 02/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890826028
- Enrollment ID: I20100701000345
Medical Identifiers
Medical identifiers for Dr Sruthi Kondur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023229036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 4301086330 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301086330 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sruthi Kondur allows following entities to bill medicare on her behalf.
Entity Name | Michigan Interventional Pain Center,pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053356774 PECOS PAC ID: 5799797452 Enrollment ID: O20060620000137 |
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Entity Name | Michigan Pain & Spine Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538597877 PECOS PAC ID: 7810126695 Enrollment ID: O20140128001392 |
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Entity Name | University Pain Clinic Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598138661 PECOS PAC ID: 3870894892 Enrollment ID: O20151216002653 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sruthi Kondur is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Sruthi Kondur, MD 6255 Inkster Rd Ste 105, Garden City, MI 48135-2538 Ph: (313) 831-4800 | Dr Sruthi Kondur, MD 6255 Inkster Rd Ste 105, Garden City, MI 48135-2538 Ph: (313) 831-4800 |
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