DR. SUSHMA KAKKERALA M.D.
NPI 1326395948
Pediatrics in Detroit, MI

Active since August 14, 2012PECOS Enrolled
3901 BEAUBIEN, DETROIT, MI 48201(313) 966-0128(313) 993-0390 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2021, Aug 19, 2020, Mar 30, 2016 (3 updates tracked since 2016).

About Dr. Sushma Kakkerala M.d. NPPES

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

DR. SUSHMA KAKKERALA M.D. (NPI 1326395948) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301501155) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326395948
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSHMA KAKKERALACredential: M.D.
Location Address3901 BEAUBIENDetroit, MI 48201
Mailing Address4201 St. Antoine, Uhc 5d - Mailbox 226Detroit, MI 48201-2153 · (313) 966-5051 · Fax (313) 966-0665
Fax(313) 993-0390
Sole ProprietorYes
Enumeration DateAugust 14, 2012
Last NPPES UpdateMay 18, 20213 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1326395948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301501155
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3901 BEAUBIEN, Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sushma Kakkerala M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Sushma Kakkerala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 clinicians in this Medicare group

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

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
$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
$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.

Pediatrics (Pediatric Hematology-Oncology)
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Audiologist
3901 BEAUBIEN
DETROIT, MI 48201
Nurse Practitioner
3901 BEAUBIEN
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Pediatrics (Pediatric Hematology-Oncology)
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Social Worker
3901 BEAUBIEN, UPC CHILDREN'S HOSPITAL/CRISIS CENTER
DETROIT, MI 48201
Emergency Medicine (Pediatric Emergency Medicine)
3901 BEAUBIEN, CHILREN'S HOSPITAL OF MI/ ER DEPT
DETROIT, MI 48201
Pathology (Anatomic Pathology & Clinical Pathology)
3901 BEAUBIEN, CHILDRENS HOSPITAL OF MI PATHOLOGY
DETROIT, MI 48201

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 Sushma Kakkerala's NPI number?

The NPI number for Sushma Kakkerala is 1326395948. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Sushma Kakkerala located?

Sushma Kakkerala practices at 3901 Beaubien, Detroit, MI 48201. The listed phone number is (313) 966-0128.

What is Sushma Kakkerala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sushma Kakkerala enrolled in Medicare?

Yes. Sushma Kakkerala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sushma Kakkerala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Kakkerala reassigns Medicare benefits to University Pediatricians (Detroit, MI). The 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 Sushma Kakkerala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushma Kakkerala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Sushma Kakkerala 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 Sushma Kakkerala was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.