VLSR MADIREDDY MD PC
NPI 1023267945
Family Medicine - Geriatric Medicine in Okemos, MI

Active since September 16, 2008
4129 OKEMOS RD, STE 6, OKEMOS, MI 48864(517) 803-4544(517) 803-4509 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vlsr Madireddy Md Pc NPPES

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

VLSR MADIREDDY MD PC (NPI 1023267945) is a healthcare organization registered as a geriatric medicine in Okemos, Michigan and active in the NPI registry since September 2008. The organization lists Srinivasa R Madireddy, Physician, as its authorized official.

NPPES Registry Identity

NPI1023267945
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameVLSR MADIREDDY MD PC
Location Address4129 OKEMOS RD, STE 6Okemos, MI 48864-2822
Mailing Address1715 Hamilton DrBloomfield, MI 48302-0222 · (517) 803-4544 · Fax (517) 803-4509
Fax(517) 803-4509
Organization SubpartNo
Authorized OfficialSrinivasa R MadireddyPhysician · (248) 214-1576
Enumeration DateSeptember 16, 2008
Last NPPES UpdateDecember 9, 2013
✔ NPI 1023267945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in MI · 4301084372
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
4129 OKEMOS RD, Okemos, MI 48864

Other Identifiers 8

OtherDO5269Rr Mcr
Medicare PINMI1035 LOCALE 01MI
Medicare PINMI2032 LOCALE 99MI
Other0C30644MI · Bcbsm Npp Grp
OtherSM084372MI · State Lic#
Medicaid10232267945MI
Other080F369400MI · Bcbsm
Other0C30642MI · Bcbsm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vlsr Madireddy Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20081104000726Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Vlsr Madireddy MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1033313069
4129 OKEMOS RD STE 6
Okemos, MI 48864
(517) 803-4544
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417499294
4129 OKEMOS RD SUITE 7
Okemos, MI 48864
(517) 803-4544
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1417119892
4000 N MICHIGAN RD DIMONDALE NCC
Dimondale, MI 48821
(517) 646-6258
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vlsr Madireddy MD PC's NPI number?

The NPI number for Vlsr Madireddy MD PC is 1023267945. It was assigned to this organization in the NPPES registry on September 16, 2008.

Where is Vlsr Madireddy MD PC located?

Vlsr Madireddy MD PC is located at 4129 Okemos Rd Ste 6, Okemos, MI 48864. The listed phone number is (517) 803-4544.

What is Vlsr Madireddy MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Vlsr Madireddy MD PC enrolled in Medicare?

Yes. Vlsr Madireddy MD PC is registered in the Medicare PECOS enrollment system.

When is Vlsr Madireddy MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Vlsr Madireddy MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vlsr Madireddy MD PC, in Family Practice, Geriatric Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vlsr Madireddy MD PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vlsr Madireddy MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vlsr Madireddy MD PC was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.