KEDAREESHWAR SANJAY ARUKALA
NPI 1689056434
Internal Medicine in Pontiac, MI

Active since June 28, 2015PECOS EnrolledAccepts Medicare Assignment
87.72/100
CMS Quality Rating
44405 WOODWARD AVE # H-23, PONTIAC, MI 48341(248) 858-6233 Get Directions Write a Review

NPPES record last updated: June 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kedareeshwar Sanjay Arukala NPPES

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

KEDAREESHWAR SANJAY ARUKALA (NPI 1689056434) is an individual internal medicine provider in Pontiac, Michigan, licensed in Michigan (4301107371) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St David's South Austin Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689056434
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEDAREESHWAR SANJAY ARUKALA
Location Address44405 WOODWARD AVE # H-23Pontiac, MI 48341-5023
Mailing Address1702 Arcadian DrRochester Hills, MI 48307-3588 · (248) 480-6096
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 28, 2015
NPI 1689056434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301107371
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.
44405 WOODWARD AVE # H-23, Pontiac, MI 48341

Accepted 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

Kedareeshwar Sanjay Arukala 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 ID8729379128
PECOS Enrollment IDI20241108000024
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
473 services178 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
226 services119 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
115 services114 patients
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.
81 services80 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
61 services61 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.
39 services17 patients

Hospital Affiliations CMS Care Compare

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

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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.

87.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.98
Improvement Activities40
Cost68.13

Reported Quality Measures

Advance Care Plan
100%382 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
93%184 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Anesthesiology
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Internal Medicine
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Surgery
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Internal Medicine
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341
Internal Medicine
44405 WOODWARD AVE # H-23
PONTIAC, MI 48341

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 Kedareeshwar Arukala's NPI number?

The NPI number for Kedareeshwar Arukala is 1689056434. It was assigned to this individual provider in the NPPES registry on June 28, 2015.

Where is Kedareeshwar Arukala located?

Kedareeshwar Arukala practices at 44405 Woodward Ave # H-23, Pontiac, MI 48341. The listed phone number is (248) 858-6233.

What is Kedareeshwar Arukala's specialty?

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

Is Kedareeshwar Arukala enrolled in Medicare?

Yes. Kedareeshwar Arukala 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 Kedareeshwar Arukala accept?

Health plans from Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina list Kedareeshwar Arukala 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 Kedareeshwar Arukala affiliated with any hospitals?

According to CMS data, Kedareeshwar Arukala is affiliated with St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Kedareeshwar Arukala was last updated on June 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.