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SUDHA R DAMIDI M.D.
NPI 1407902869
Pediatrics in Pigeon, MI

Active since January 26, 2007PECOS Enrolled
168 N CASEVILLE RD, PIGEON, MI 48755(989) 453-2141(989) 453-2559 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2023, Aug 15, 2016 (2 updates tracked since 2016).

About Sudha R Damidi M.d. NPPES

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

SUDHA R DAMIDI M.D. (NPI 1407902869) is an individual pediatrics provider in Pigeon, Michigan, licensed in Michigan (4301089171) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407902869
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUDHA R DAMIDICredential: M.D.
Location Address168 N CASEVILLE RDPigeon, MI 48755-9415
Mailing Address168 N Caseville RdPigeon, MI 48755-9415 · (989) 453-2141 · Fax (989) 453-2559
Phone(989) 453-2141
Fax(989) 453-2559
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1407902869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301089171
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.
168 N CASEVILLE RD, Pigeon, MI 48755
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudha R Damidi 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 Sudha Damidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Heath System
101 mi
Vascular & Interventional Radiology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health System
  • 1,886 clinicians in this Medicare group
NPI 1013119817 (313) 916-2600

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 48755 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 19

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

DR. LAUREY R HANSELMAN D.O.
Family Medicine
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-2141
MRS. KAREN LEE ISELER AGPCNP-BC
Nurse Practitioner (Gerontology)
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-3585
KAREN BUCK NP
Nurse Practitioner
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-2141
SCHEURER HOSPITAL
Family Medicine
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-7301
MR. TREVOR SAMUEL MATTARELLA FNP
Nurse Practitioner (Family)
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-2141
MACKENZIE RAE PAULSON PA-C
Physician Assistant
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-2141
LOIS BOOMS F.N.P.
Nurse Practitioner (Family)
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-2141
LIBERTY HOPE CLOUTIER
Social Worker (Clinical)
168 N CASEVILLE RD
PIGEON, MI 48755
Huron County (989) 453-3223

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 Sudha Damidi's NPI number?

The NPI number for Sudha Damidi is 1407902869. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Sudha Damidi located?

Sudha Damidi practices at 168 N Caseville Rd, Pigeon, MI 48755. The listed phone number is (989) 453-2141.

What is Sudha Damidi's specialty?

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

Is Sudha Damidi enrolled in Medicare?

Yes. Sudha Damidi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sudha Damidi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Damidi reassigns Medicare benefits to Henry Ford Heath System (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 Sudha Damidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudha Damidi 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 1 other insurer list Sudha Damidi 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 Sudha Damidi was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.