DR. LAKSHMI SUBBA NELLUTLA MD
NPI 1629216007
Family Medicine in Detroit, MI

Q: What is Lakshmi Nellutla's NPI number?

The NPI number for Lakshmi Nellutla is 1629216007. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Q: What is Lakshmi Nellutla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lakshmi Nellutla was last updated on October 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 23, 2009PECOS Enrolled

7733 E JEFFERSON AVE, DETROIT, MI 48214(313) 499-4900(313) 499-4483 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Lakshmi Subba Nellutla Md NPPES

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

DR. LAKSHMI SUBBA NELLUTLA MD (NPI 1629216007) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301093294) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629216007

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LAKSHMI SUBBA NELLUTLACredential: MD

Location Address7733 E JEFFERSON AVEDetroit, MI 48214-3707

Mailing Address17197 N Laurel Park Dr, Suite 161Livonia, MI 48152-2680 · (734) 338-8300 · Fax (734) 338-8301

Phone(313) 499-4900

Fax(313) 499-4483

Sole ProprietorNo

Enumeration DateJanuary 23, 2009

Last NPPES UpdateOctober 6, 2010

✔ NPI 1629216007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301093294

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7733 E JEFFERSON AVE, Detroit, MI 48214

Open in Google Maps ↗

Other Identifiers 2

Other700H231390MI · Bcbs Group Number

Medicare PIN0P47270MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lakshmi Subba Nellutla Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48214 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.

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.

DR. FRANK BEVER MD

Pathology (Anatomic Pathology & Clinical Pathology)

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-3000

ASGAR ALIHUSAIN BOXWALLA MD

Internal Medicine (Infectious Disease)

7733 E JEFFERSON AVE, SUITE 2C
DETROIT, MI 48214

Wayne County (313) 499-4255

LAURIE L MCLARTY CRNA

Nurse Anesthetist, Certified Registered

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-4876

MR. RICHARD GARY WALDMAN LMSW

Social Worker (Clinical)

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-4970

MS. APRIL RITA JACKSON MSW

Social Worker (Clinical)

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-4970

PATRICIA A TOKARSKI CRNA

Nurse Anesthetist, Certified Registered

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-4254

FREDERICK J LAZAGA CRNA

Nurse Anesthetist, Certified Registered

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-4254

LEOPOLDO P PALAD JR. M.D.

Anesthesiology

7733 E JEFFERSON AVE
DETROIT, MI 48214

Wayne County (313) 499-4254

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 Lakshmi Nellutla's NPI number?

The NPI number for Lakshmi Nellutla is 1629216007. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Lakshmi Nellutla located?

Lakshmi Nellutla practices at 7733 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (313) 499-4900.

What is Lakshmi Nellutla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lakshmi Nellutla enrolled in Medicare?

Yes. Lakshmi Nellutla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lakshmi Nellutla was last updated on October 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.