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PAVANI KOLLI, MD PLC
NPI 1467423194
Internal Medicine in Dearborn, MI

Active since January 31, 2006
24604 MICHIGAN AVE, DEARBORN, MI 48124(313) 908-9374(313) 562-8511 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pavani Kolli, Md Plc NPPES

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

PAVANI KOLLI, MD PLC (NPI 1467423194) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since January 2006. The organization lists Pavani Kolli, President, as its authorized official.

NPPES Registry Identity

NPI1467423194
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAVANI KOLLI, MD PLC
Location Address24604 MICHIGAN AVEDearborn, MI 48124-1742
Mailing Address24604 Michigan AveDearborn, MI 48124-1742 · (313) 908-9374 · Fax (313) 562-8511
Phone(313) 908-9374
Fax(313) 562-8511
Organization SubpartNo
Authorized OfficialPavani KolliPresident · (734) 266-2780
Enumeration DateJanuary 31, 2006
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1467423194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
24604 MICHIGAN AVE, Dearborn, MI 48124
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0N90730MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pavani Kolli, Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pavani Kolli, MD Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pavani Kolli, MD
Internal Medicine
NPI 1649240615
24604 MICHIGAN AVE
Dearborn, MI 48124
(313) 908-9374
✔ PECOS✔ Accepts MedicareSame address

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

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 Pavani Kolli, MD Plc's NPI number?

The NPI number for Pavani Kolli, MD Plc is 1467423194. It was assigned to this organization in the NPPES registry on January 31, 2006.

Where is Pavani Kolli, MD Plc located?

Pavani Kolli, MD Plc is located at 24604 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 908-9374.

What is Pavani Kolli, MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pavani Kolli, MD Plc enrolled in Medicare?

Yes. Pavani Kolli, MD Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pavani Kolli, MD Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pavani Kolli, MD Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pavani Kolli, MD Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pavani Kolli, MD Plc 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 Pavani Kolli, MD Plc was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.