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DR. VASUDEVARAO MANDAVA M.D
NPI 1073501821
Internal Medicine in Mount Clemens, MI

Active since October 06, 2005PECOS Enrolled
18 MARKET ST, SUITE C, MOUNT CLEMENS, MI 48043(586) 783-2222(586) 783-6280 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Jul 17, 2018 (2 updates tracked since 2018).

About Dr. Vasudevarao Mandava M.d NPPES

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

DR. VASUDEVARAO MANDAVA M.D (NPI 1073501821) is an individual internal medicine provider in Mount Clemens, Michigan, licensed in Michigan (VM031566) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073501821
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VASUDEVARAO MANDAVACredential: M.D
Location Address18 MARKET ST, SUITE CMount Clemens, MI 48043
Mailing Address6800 E 10 Mile RdCenter Line, MI 48015-1167 · (586) 619-9986
Phone(586) 783-2222
Fax(586) 783-6280
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1073501821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · VM031566
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18 MARKET ST, Mount Clemens, MI 48043
Open in Google Maps ↗

Other Identifiers 1

Medicaid1096276MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vasudevarao Mandava M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

TRAINING & TREATMENT INNOVATIONS INC
Community/Behavioral Health
18 MARKET ST, SUITE C
MOUNT CLEMENS, MI 48043
Macomb County (586) 630-3460
SCOTT B MCCORMICK PA-C
Physician Assistant
18 MARKET ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2222
DR. ALEKSANDER A DOMICZEK MD
Family Medicine
18 MARKET ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2222
MELISSA ZETOUNA P.A.-C.
Physician Assistant (Medical)
18 MARKET ST, SUITE C
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2222

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 Vasudevarao Mandava's NPI number?

The NPI number for Vasudevarao Mandava is 1073501821. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Vasudevarao Mandava located?

Vasudevarao Mandava practices at 18 Market St Suite C, Mount Clemens, MI 48043. The listed phone number is (586) 783-2222.

What is Vasudevarao Mandava's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vasudevarao Mandava enrolled in Medicare?

Yes. Vasudevarao Mandava is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vasudevarao Mandava was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.