Amitha Kakulavaram, MD in Pontiac, MI

Amitha Kakulavaram, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Pontiac, Michigan. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Michigan Kidney Consultants, P.c. and her current practice location is 44200 Woodward Ave Ste 209, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 253-0330.

Amitha Kakulavaram is licensed to practice in Michigan (license number 4301084121) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720267800.

Contact Information

	Amitha Kakulavaram, MD
	44200 Woodward Ave Ste 209, Pontiac, MI 48341-5045
	(248) 253-0330
	(248) 253-1982

Map and Direction

Physician's Profile

Full Name	Amitha Kakulavaram
Gender	Female
Speciality	Nephrology
Experience	22 Years
Location	44200 Woodward Ave Ste 209, Pontiac, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amitha Kakulavaram graduated from medical school in 2002

NPI Data:

NPI Number: 1720267800
Provider Enumeration Date: 10/25/2007
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 2163591173
Enrollment ID: I20080516000464

Medical Identifiers

Medical identifiers for Amitha Kakulavaram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720267800	NPI	-	NPPES
1720267800	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	4301084121 (Michigan)	Primary
207R00000X	Internal Medicine	4301084121 (Michigan)	Secondary
208M00000X	Hospitalist	4301084121 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Greenfield Hs - Pontiac	Pontiac, MI	Dialysis facility
St Joseph Mercy Oakland	Pontiac, MI	Hospital
Ascension Providence - Crittenton Hospital Medical Center	Rochester, MI	Hospital
Mclaren Oakland	Pontiac, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Michigan Kidney Consultants, P.c.	1052207115	36

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. Amitha Kakulavaram allows following entities to bill medicare on her behalf.

Entity Name	Michigan Kidney Consultants, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831130723 PECOS PAC ID: 1052207115 Enrollment ID: O20040225000631

Entity Name	The Wellness Plan Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043373244 PECOS PAC ID: 1052380201 Enrollment ID: O20040925000098

Entity Name	Kidney Center Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083983498 PECOS PAC ID: 2062674641 Enrollment ID: O20120426000378

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. Amitha Kakulavaram 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
Amitha Kakulavaram, MD 5280 Metropolitan Pkwy, Sterling Heights, MI 48310-4005 Ph: (248) 858-3011	Amitha Kakulavaram, MD 44200 Woodward Ave Ste 209, Pontiac, MI 48341-5045 Ph: (248) 253-0330

Reviews and Comments

Internal Medicine Doctors in Pontiac, MI

Essa Hanna Hattar, MD Nephrology Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392
Judie R. Goodman, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341 Phone: 248-858-2270 Fax: 248-335-6171
Dr. Kalyana S Ramamurthi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suie 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982
Dr. Ravinder Kamal Singala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000
Humberto Diaz Del Castillo Guzman, MD Nephrology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 947-500-7744
Dr. Fahd Al-saghir, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suite 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982
Dr. Matthew Lee Edwards, D.O, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000

Amitha Kakulavaram, MD - Medicare Nephrology in Pontiac, MI