MAHESHA MAKANDURA M.D.
NPI 1235593682
Internal Medicine - Rheumatology in Novi, MI

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
39450 W 12 MILE RD, NOVI, MI 48377(248) 344-6688 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mahesha Makandura M.d. NPPES

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

MAHESHA MAKANDURA M.D. (NPI 1235593682) is an individual rheumatology provider in Novi, Michigan, licensed in Michigan (4301501798) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1235593682
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMAHESHA MAKANDURACredential: M.D.
Location Address39450 W 12 MILE RDNovi, MI 48377-3600
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 12, 2016
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
NPI 1235593682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MI · 4301501798
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
39450 W 12 MILE RD, Novi, MI 48377

Other Names 1

Former Name (1)Mp Mahesha Lakmali Mudannayaka M.d.

Secondary Practice Location 1

Location 16071 W Outer DrDetroit, MI 48235-2624 · Phone (313) 966-6777

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

Mahesha Makandura 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 ID6103117940
PECOS Enrollment IDI20230428001559
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 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.
114 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 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.

Pharmacist
39450 W 12 MILE RD
NOVI, MI 48377
Physical Therapist
39450 W 12 MILE RD
NOVI, MI 48377
Pharmacy (Community/Retail Pharmacy)
39450 W 12 MILE RD, STE 1B
NOVI, MI 48377
Social Worker (Clinical)
39450 W 12 MILE RD
NOVI, MI 48377
Podiatrist
39450 W 12 MILE RD
NOVI, MI 48377
Specialist/Technologist (Athletic Trainer)
39450 W 12 MILE RD
NOVI, MI 48377
Psychiatry & Neurology (Psychiatry)
39450 W 12 MILE RD
NOVI, MI 48377
Physician Assistant
39450 W 12 MILE RD
NOVI, MI 48377

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 Mahesha Makandura's NPI number?

The NPI number for Mahesha Makandura is 1235593682. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Mp Mahesha Lakmali Mudannayaka M.D..

Where is Mahesha Makandura located?

Mahesha Makandura practices at 39450 W 12 Mile Rd, Novi, MI 48377. The listed phone number is (248) 344-6688.

What is Mahesha Makandura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mahesha Makandura enrolled in Medicare?

Yes. Mahesha Makandura 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 Mahesha Makandura 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 Mahesha Makandura 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 Mahesha Makandura affiliated with any hospitals?

According to CMS data, Mahesha Makandura is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Henry Ford Health Wyandotte Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Mahesha Makandura 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 22 months 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.