ROJANANDHAM SAMUDRALA M.D.
NPI 1053390112
Radiology - Diagnostic Radiology in Clinton Township, MI

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 741-3772(586) 741-4604 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rojanandham Samudrala M.d. NPPES

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

ROJANANDHAM SAMUDRALA M.D. (NPI 1053390112) is an individual diagnostic radiology provider in Clinton Township, Michigan, licensed in Michigan (4301033107) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1053390112
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameROJANANDHAM SAMUDRALACredential: M.D.
Location Address36175 HARPER AVEClinton Township, MI 48035-3274
Mailing Address36175 Harper AveClinton Township, MI 48035-3274 · (586) 741-3772 · Fax (586) 741-4604
Fax(586) 741-4604
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateJanuary 17, 2006
Last NPPES UpdateApril 20, 2008
NPI 1053390112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301033107
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
36175 HARPER AVE, Clinton Township, MI 48035

Other Identifiers 6

Other0H26188MI · Bcbs Provider Number
Other0Q26008MI · Bcbs Provider Number
Medicaid1366540MI
Other107540MI · Great Lakes Health
Other1006439MI · Mclaren Health
Medicare UPINE21160MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rojanandham Samudrala M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951200625
PECOS Enrollment IDI20040228000235
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
56 services55 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
40 services40 patients
Nuclear medicine study of bone and/or joint whole body 78306
A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
36 services35 patients
Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
34 services30 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
29 services29 patients
Ultrasound scan of abdominal aorta 76706
An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%46 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
95%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Radiology (Vascular & Interventional Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TWP, MI 48035
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035

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 Rojanandham Samudrala's NPI number?

The NPI number for Rojanandham Samudrala is 1053390112. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Rojanandham Samudrala located?

Rojanandham Samudrala practices at 36175 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 741-3772.

What is Rojanandham Samudrala's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rojanandham Samudrala enrolled in Medicare?

Yes. Rojanandham Samudrala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rojanandham Samudrala accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Rojanandham Samudrala 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.

Is Rojanandham Samudrala affiliated with any hospitals?

According to CMS data, Rojanandham Samudrala is affiliated with Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Rojanandham Samudrala was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.