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ATUL MEDAVARAM MD
NPI 1487215638
Hospitalist in Garden City, MI

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
6245 INKSTER RD, GARDEN CITY, MI 48135(734) 458-4486 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Jan 8, 2025, Feb 9, 2024 (3 updates tracked since 2024).

About Atul Medavaram Md NPPES

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

ATUL MEDAVARAM MD (NPI 1487215638) is an individual hospitalist provider in Garden City, Michigan, licensed in Illinois (036162089) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1487215638
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameATUL MEDAVARAMCredential: MD
Location Address6245 INKSTER RDGarden City, MI 48135-4001
Mailing Address6245 Inkster RdGarden City, MI 48135-4001
Phone(734) 458-4486
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2019
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1487215638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036162089
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351044756 (MI)
6245 INKSTER RD, Garden City, MI 48135
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Atul Medavaram 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 ID749690501
PECOS Enrollment IDI20231002002371, I20240415001244
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 Reassignments

8

Medicare enrollment records show Atul Medavaram reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc
238 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
238 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Ascension Medical Group-Fox Valley Wisconsin, Inc
290 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200
24 On Physicians, PC
292 mi
Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 clinicians in this Medicare group
NPI 1346480431 (800) 923-2247
Cep America-Illinois Hospitalists
320 mi
Hospitalist
2200 E WASHINGTON ST
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1669276523 (309) 662-3311
Fairview Heights Medical Group, Sc
455 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644
Physician Groups Lc
455 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
NPI 1285664268 (314) 996-7644
Apogee Medical Group Maine PC
749 mi
Internal Medicine
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 52 clinicians in this Medicare group
NPI 1659152742 (207) 907-1000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
148 services146 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
82 services82 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

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.

JOHN SWAN D.O
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-8448
DAMANJEET SINGH SAHI DO
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-4486
DENNIS WILKINSON SMYTHE DO
Student in an Organized Health Care Education/Training Program
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3300
GARDEN CITY HOSPITAL
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-1200
CALVIN STEWART JR. CRNA
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3295
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-1200
CAITLIN BOYLE
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3300
MEHRAN SALARI M.D.
Radiology (Diagnostic Radiology)
6245 INKSTER RD
GARDEN CITY, MI 48135
Wayne County (734) 458-3412

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 Atul Medavaram's NPI number?

The NPI number for Atul Medavaram is 1487215638. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Atul Medavaram located?

Atul Medavaram practices at 6245 Inkster Rd, Garden City, MI 48135. The listed phone number is (734) 458-4486.

What is Atul Medavaram's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Atul Medavaram enrolled in Medicare?

Yes. Atul Medavaram 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.

Which organizations bill Medicare for Atul Medavaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atul Medavaram reassigns Medicare benefits to 8 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI), 24 On Physicians, PC (Ottawa, IL), Cep America-Illinois Hospitalists (Bloomington, IL) and 3 more organizations, listed in the Medicare section above. Each 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 Atul Medavaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atul Medavaram accept?

Health plans from Anthem Blue Cross and Blue Shield list Atul Medavaram 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 Atul Medavaram affiliated with any hospitals?

According to CMS data, Atul Medavaram is affiliated with Alton Memorial Hospital, Memorial Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Medavaram was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.