| Shivajee V Nallamothu, DO | |
|
5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 | |
| (248) 620-2325 | |
| (248) 620-2326 |
| Full Name | Shivajee V Nallamothu |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 5701 Bow Pointe Dr, Clarkston, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720058100 | NPI | - | NPPES |
| 4471209 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101012532 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Home Health | Sterling heights, MI | Home health agency |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Oakland | 0547173213 | 46 |
| Mclaren Medical Group | 3971416082 | 314 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Mclaren Oakland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053463778 PECOS PAC ID: 0547173213 Enrollment ID: O20031111000770 |
| Entity Name | Marlette Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235333931 PECOS PAC ID: 3971408121 Enrollment ID: O20031202000143 |
| Entity Name | Marlette Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598840498 PECOS PAC ID: 3971408121 Enrollment ID: O20040225000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivajee V Nallamothu, DO 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 Ph: (248) 620-2325 | Shivajee V Nallamothu, DO 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 Ph: (248) 620-2325 |
Paul C. Lewis, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6815 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-384-8350 Fax: 248-384-8351 | |
Mithun Kotresh Neral, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6815 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-384-8350 Fax: 248-384-8351 | |
Edward J Lis Jr., D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6310 Sashabaw Rd, Suite A, Clarkston, MI 48346 Phone: 248-620-2325 Fax: 248-620-2326 | |
Dr. Matthew Carl Sardelli, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5680 Bow Pointe Dr Ste 102, Clarkston, MI 48346 Phone: 248-792-0037 |