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SRUTHI SIDDADA MD
NPI 1013710623
Student in an Organized Health Care Education/Training Program in Macomb County, MI

Active since March 29, 2025PECOS Enrolled
15855 19 MILE RD., CLINTON TOWNSHIP, MACOMB COUNTY, MI 48038(313) 916-1601 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sruthi Siddada Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRUTHI SIDDADA MD (NPI 1013710623) is an individual student in an organized health care education/training program in Macomb County, Michigan and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013710623
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSRUTHI SIDDADACredential: MD
Location Address15855 19 MILE RD., CLINTON TOWNSHIPMacomb County, MI 48038
Mailing Address15855 19 Mile Rd, Clinton TownshipMacomb County, MI 48038 · (313) 916-1601
Phone(313) 916-1601
Sole ProprietorYes
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1013710623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15855 19 MILE RD., Macomb County, MI 48038
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sruthi Siddada Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENN' E. PARRISH M.D.
Family Medicine
15855 19 MILE RD.
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sruthi Siddada's NPI number?

The NPI number for Sruthi Siddada is 1013710623. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Sruthi Siddada located?

Sruthi Siddada practices at 15855 19 Mile Rd. Clinton Township, Macomb County, MI 48038. The listed phone number is (313) 916-1601.

What is Sruthi Siddada's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sruthi Siddada enrolled in Medicare?

Yes. Sruthi Siddada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sruthi Siddada was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.