DR. VISHNU TEJA PEMMARAJU MD
NPI 1306376173
Colon & Rectal Surgery in Wayne, MI

Q: What is Vishnu Pemmaraju's NPI number?

The NPI number for Vishnu Pemmaraju is 1306376173. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Vishnu Pemmaraju's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Vishnu Pemmaraju was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment

3106 S WAYNE RD, WAYNE, MI 48184(734) 722-6300(734) 722-4815 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2026, Aug 1, 2024, Jul 29, 2023 and 3 more (6 updates tracked since 2017).

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About Dr. Vishnu Teja Pemmaraju Md NPPES

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

DR. VISHNU TEJA PEMMARAJU MD (NPI 1306376173) is an individual colon & rectal surgery provider in Wayne, Michigan, licensed in Michigan (4301510107) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1306376173

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. VISHNU TEJA PEMMARAJUCredential: MD

Location Address3106 S WAYNE RDWayne, MI 48184-1221

Mailing Address3106 S Wayne RdWayne, MI 48184-1221 · (734) 722-6300 · Fax (734) 722-4815

Phone(734) 722-6300

Fax(734) 722-4815

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2017

Enumeration DateJune 14, 2017

Last NPPES UpdateJanuary 30, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1306376173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in MI · 4301510107

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 4301510107 (MI)

3106 S WAYNE RD, Wayne, MI 48184

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Secondary Practice Location 1

Location 13577 W 13 Mile RdRoyal Oak, MI 48073-6710 · Phone (248) 551-0268

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vishnu Teja Pemmaraju 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 ID6608145198

PECOS Enrollment IDI20231005000918

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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

62 services35 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.

53 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230142

Location33155 Annapolis AveWayne, MI 48184 · Wayne County

Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230176

Location5450 Fort StreetTrenton, MI 48183 · Wayne County

Emergency services Birthing friendly

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 8

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

VISHNU PEMMARAJU, MD

Colon & Rectal Surgery