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DR. HARISH HARRY GIDDA MD
NPI 1134744998
Internal Medicine in Detroit, MI

Active since June 08, 2020PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 966-0695(313) 993-0562 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Jul 15, 2020, Jun 8, 2020 (3 updates tracked since 2020).

About Dr. Harish Harry Gidda Md NPPES

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

DR. HARISH HARRY GIDDA MD (NPI 1134744998) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4351046461) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134744998
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HARISH HARRY GIDDACredential: MD
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine StDetroit, MI 48201-2153 · (313) 966-0695 · Fax (313) 993-0562
Phone(313) 966-0695
Fax(313) 993-0562
Sole ProprietorNo
Enumeration DateJune 8, 2020
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1134744998 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 · 4351046461
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.
4201 SAINT ANTOINE ST, Detroit, MI 48201
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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)

Dr. Harish Harry Gidda 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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 20

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

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

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 Harish Gidda's NPI number?

The NPI number for Harish Gidda is 1134744998. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Harish Gidda located?

Harish Gidda practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 966-0695.

What is Harish Gidda's specialty?

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

Is Harish Gidda enrolled in Medicare?

Yes. Harish Gidda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Harish Gidda was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.