RAVI BHUSHAN KUKKALLI P.T.
NPI 1174727903
Physical Therapist in Wayne, MI

Active since June 14, 2007Accepts Medicare Assignment
4020 VENOY RD STE 700, WAYNE, MI 48184(734) 727-1309(734) 727-1319 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ravi Bhushan Kukkalli P.t. NPPES

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

RAVI BHUSHAN KUKKALLI P.T. (NPI 1174727903) is an individual physical therapist in Wayne, Michigan, licensed in Michigan (5501010604) and active in the NPI registry since June 2007. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1174727903
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRAVI BHUSHAN KUKKALLICredential: P.T.
Location Address4020 VENOY RD STE 700Wayne, MI 48184-1891
Mailing Address4020 Venoy Rd Ste 700Wayne, MI 48184-1891 · (734) 727-1309 · Fax (734) 727-1319
Fax(734) 727-1319
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 14, 2007
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1174727903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501010604
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

4020 VENOY RD STE 700, Wayne, MI 48184

Other Identifiers 1

Other65-0-F3-1405-0MI · Bcbsm

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

Ravi Bhushan Kukkalli P.t. 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 ID345202123
PECOS Enrollment IDI20060501000215

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48184 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.

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.

Internal Medicine (Nephrology)
4020 VENOY RD STE 700
WAYNE, MI 48184
Physical Therapist
4020 VENOY RD STE 700
WAYNE, MI 48184

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 Ravi Kukkalli's NPI number?

The NPI number for Ravi Kukkalli is 1174727903. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Ravi Kukkalli located?

Ravi Kukkalli practices at 4020 Venoy Rd Ste 700, Wayne, MI 48184. The listed phone number is (734) 727-1309.

What is Ravi Kukkalli's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ravi Kukkalli enrolled in Medicare?

Yes. Ravi Kukkalli 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 Ravi Kukkalli 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 list Ravi Kukkalli 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 Ravi Kukkalli was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.