DR. SUSHMA KAKKERALA M.D.
NPI 1326395948
Pediatrics in Detroit, MI
NPI Status: Active since August 14, 2012
Contact Information
3901 BEAUBIEN
DETROIT, MI
ZIP 48201
Phone: (313) 966-0128
Fax: (313) 993-0390
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About SUSHMA KAKKERALA
This page provides the complete NPI Profile along with additional information for Sushma Kakkerala, a pediatrician established in Detroit, Michigan with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1326395948 assigned on August 2012. The practitioner's primary taxonomy code is 208000000X with license number 4301501155 (MI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1326395948
- Provider Name
- DR. SUSHMA KAKKERALA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3901 BEAUBIEN DETROIT, MI 48201
- Location Phone
- (313) 966-0128
- Location Fax
- (313) 993-0390
- Mailing Address
- 4201 ST. ANTOINE UHC 5D - MAILBOX 226 DETROIT, MI 48201
- Mailing Phone
- (313) 966-5051
- Mailing Fax
- (313) 993-0390
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-14-2012
- Last Update Date
- 05-18-2021
- Code Navigator
A pediatrician like Sushma Kakkerala is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301501155
- License State
- MI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sushma Kakkerala is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. SUSHMA KAKKERALA M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 3 | 9 | 5 | 9 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 6 | 9 | 10 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 6 + 9 + 1 + 0 + 9 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1326395948 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MELISSA JANE GREGORY M.D.
Pediatrics
(Pediatric Nephrology)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
CHILDRENS EYE CARE DETROIT PC
Ophthalmology
3901 BEAUBIEN
DETROIT, MI
ZIP 48201
DANIEL E CALHOUN MSW
Social Worker
3901 BEAUBIEN
UPC CHILDREN'S HOSPITAL/CRISIS CENTER
DETROIT, MI
ZIP 48201
DR. SUMITA ROY M.D.
Pediatrics
(Pediatric Hematology-Oncology)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
DEEMAH MAHADIN MD
Pediatrics
(Pediatric Cardiology)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
DR. SILVIJA AKBARY M.D.
Pediatrics
(Pediatric Emergency Medicine)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI, ER DEPT
DETROIT, MI
ZIP 48201
MERET HENRY M.D.
Pediatrics
(Pediatric Hematology-Oncology)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
YAMUNA SANIL M.D
Pediatrics
(Pediatric Cardiology)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
DR. KRISTEN P PETERS AU.D.
Audiologist
3901 BEAUBIEN
DETROIT, MI
ZIP 48201
FATEMA JAHAN SERAJEE M.D.
Psychiatry & Neurology
(Neurology with Special Qualifications in Child Neurology)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
DR. STEPHANIE BARBERA GALDES D.O.
Pediatrics
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
MISS LINDSEY RAE BENNETT M.S.
Genetic Counselor, MS
3901 BEAUBIEN
DETROIT, MI
ZIP 48201
DR. JOSEF MISAEL CELOSA CORTEZ M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
3901 BEAUBIEN
4TH FLOOR MAIN BLG CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
SHERIDA DANIELLE DUBOSE PARSONS MD
Pediatrics
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
LEIGH FLORE M.D.
Medical Genetics
(Clinical Genetics (M.D.))
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
GIRIJA NATARAJAN MD
Pediatrics
(Neonatal-Perinatal Medicine)
3901 BEAUBIEN
4TH FLOOR, CARL'S BUILDING
DETROIT, MI
ZIP 48201
KATHERINE O'BRIEN CASHEN D.O.
Pediatrics
(Pediatric Critical Care Medicine)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
SOWKYA RANGARAJAN MD
Pediatrics
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
CHAYA R PITMAN-HUNT
Pediatrics
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
JESSICA COONEY CPNP
Nurse Practitioner
(Pediatrics)
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326395948, enumerated as an "individual" on August 14, 2012.
The provider is located at 3901 BEAUBIEN DETROIT, MI 48201 and the phone number is (313) 966-0128.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
