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DR. SANMITHA SUNDARAM KOTA MD
NPI 1174170781
Internal Medicine in Waterford, MI

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment
5210 HIGHLAND RD STE 201, WATERFORD, MI 48327(248) 674-2259 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2024, Aug 19, 2022, Aug 20, 2019 (3 updates tracked since 2019).

About Dr. Sanmitha Sundaram Kota Md NPPES

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

DR. SANMITHA SUNDARAM KOTA MD (NPI 1174170781) is an individual internal medicine provider in Waterford, Michigan, licensed in Michigan (4301506794) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174170781
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANMITHA SUNDARAM KOTACredential: MD
Location Address5210 HIGHLAND RD STE 201Waterford, MI 48327-1970
Mailing Address5210 Highland Rd Ste 201Waterford, MI 48327-1970 · (248) 674-2259
Phone(248) 674-2259
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 20, 2019
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1174170781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 4301506794✔ Licensed in TX · T6051
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10068796 (TX)
5210 HIGHLAND RD STE 201, Waterford, MI 48327
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanmitha Sundaram Kota Md 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 ID5395129480
PECOS Enrollment IDI20240426000194
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sanmitha Sundaram Kota reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mclaren Macomb
26 mi
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 188 clinicians in this Medicare group
NPI 1528002532 (586) 493-8747
Mclaren Medical Group
27 mi
Internal Medicine
1459 S CENTER RD
Burton, MI 48509
  • Reassigned Medicare billing, Michigan enrollment
  • 416 clinicians in this Medicare group
NPI 1659418663 (810) 496-0900
Christus Trinity Clinic Texas
964 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services92 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
111 services83 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48327 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 2

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

DR. DESMOND ALEXANDER JACKSON M.D.
Internal Medicine (Rheumatology)
5210 HIGHLAND RD STE 201
WATERFORD, MI 48327
Oakland County (248) 674-2259
DR. STEPHANIE COLEMAN M.D.
Internal Medicine
5210 HIGHLAND RD STE 201
WATERFORD, MI 48327
Oakland County (248) 674-2259

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 Sanmitha Sundaram Kota's NPI number?

The NPI number for Sanmitha Sundaram Kota is 1174170781. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Sanmitha Sundaram Kota located?

Sanmitha Sundaram Kota practices at 5210 Highland Rd Ste 201, Waterford, MI 48327. The listed phone number is (248) 674-2259.

What is Sanmitha Sundaram Kota's specialty?

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

Is Sanmitha Sundaram Kota enrolled in Medicare?

Yes. Sanmitha Sundaram Kota 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.

Which organizations bill Medicare for Sanmitha Sundaram Kota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanmitha Sundaram Kota reassigns Medicare benefits to 3 organizations: Mclaren Macomb (Mount Clemens, MI), Mclaren Medical Group (Burton, MI) and Christus Trinity Clinic Texas (Tyler, TX). Each 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 Sanmitha Sundaram Kota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanmitha Sundaram Kota accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sanmitha Sundaram Kota 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 Sanmitha Sundaram Kota affiliated with any hospitals?

According to CMS data, Sanmitha Sundaram Kota is affiliated with Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Sanmitha Sundaram Kota was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.