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NITHIN S PEDDIREDDY MD
NPI 1326530866
Otolaryngology - Plastic Surgery within the Head & Neck in Detroit, MI

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
4100 JOHN R ST, DETROIT, MI 48201(800) 527-6266 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2024, Oct 3, 2023 (2 updates tracked since 2023).

About Nithin S Peddireddy Md NPPES

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

NITHIN S PEDDIREDDY MD (NPI 1326530866) is an individual plastic surgery within the head & neck provider in Detroit, Michigan, licensed in Michigan (4301511303) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of University Of Cincinnati College Of Medicine (2018).

NPPES Registry Identity

NPI1326530866
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameNITHIN S PEDDIREDDYCredential: MD
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address4100 John R StDetroit, MI 48201-2013 · (800) 527-6266
Phone(800) 527-6266
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1326530866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in MI · 4301511303
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 35.147752 (OH)
4100 JOHN R ST, Detroit, MI 48201
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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

Nithin S Peddireddy 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 ID1355696576
PECOS Enrollment IDI20240604000572
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.

Hospital Affiliations CMS Care Compare 4

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

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

BARBARA ANN KARMANOS CANCER HOSPITAL
Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
Wayne County (313) 576-9350
BARBARA ANN KARMANOS CANCER CENTER
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9345
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
ANDREA P SAMPSON-HAGGOOD N.P.
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
KATHERINE BRECKENRIDGE SLP
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (800) 527-6266
KRISTEN MOERCHEN
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 831-4038
DR. STEPHEN A KAURALA
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9815
ELIZABETH HAY PHARMD
Pharmacist (Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-8807

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 Nithin Peddireddy's NPI number?

The NPI number for Nithin Peddireddy is 1326530866. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Nithin Peddireddy located?

Nithin Peddireddy practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (800) 527-6266.

What is Nithin Peddireddy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Nithin Peddireddy enrolled in Medicare?

Yes. Nithin Peddireddy 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 Nithin Peddireddy 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 Nithin Peddireddy 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 Nithin Peddireddy affiliated with any hospitals?

According to CMS data, Nithin Peddireddy is affiliated with Beaumont Hospital Royal Oak, Hurley Medical Center, Mclaren Flint and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Nithin Peddireddy was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.