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DR. DHEERAJ THAMMINENI M.D.
NPI 1710115969
Hospitalist in Shelby Township, MI

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315(586) 731-8400(586) 731-8406 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dheeraj Thammineni M.d. NPPES

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

DR. DHEERAJ THAMMINENI M.D. (NPI 1710115969) is an individual hospitalist provider in Shelby Township, Michigan, licensed in Michigan (4301090476) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710115969
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DHEERAJ THAMMINENICredential: M.D.
Location Address50505 SCHOENHERR RD, SUITE 340Shelby Township, MI 48315-3140
Mailing Address50505 Schoenherr Rd, Suite 340Shelby Township, MI 48315-3140 · (586) 731-8400 · Fax (586) 731-8406
Phone(586) 731-8400
Fax(586) 731-8406
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 26, 2009
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1710115969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MI · 4301090476
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 4301090476 (MI)
50505 SCHOENHERR RD, Shelby Township, MI 48315
Open in Google Maps ↗

Other Identifiers 3

Medicare PINP24580010MI
Other0502488MI · Bcbs
Medicaid1710115969MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dheeraj Thammineni M.d. 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 ID6406041672
PECOS Enrollment IDI20101112001065
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 8

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.
756 services188 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.
423 services167 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.
201 services151 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.
194 services144 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers46 claims55 services$15.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers56 claims64 services$72.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. CIARA BRAUN
Counselor
50505 SCHOENHERR RD, SUITE 270
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 263-1234
DR. JULIA TESCH DO
Hospitalist
50505 SCHOENHERR RD, SUITE 340
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 731-8400
RUSSELL MILLER CNP
Nurse Practitioner (Gerontology)
50505 SCHOENHERR RD, STE. 340
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 731-8400
DR. ANTHONY ROSS GIORDANO DPM
Podiatrist
50505 SCHOENHERR RD, SUITE 230
SHELBY TWP, MI 48315
Macomb County (586) 580-3728
VITTORIO M MORREALE M.D.
Neurological Surgery
50505 SCHOENHERR RD, STE 200
SHELBY TWP, MI 48315
Macomb County (586) 803-1220
HENRY FORD HOSPITAL
General Acute Care Hospital
50505 SCHOENHERR RD, SUITE 330
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 323-4530
PHARMASCRIPT OF SHELBY INC
Pharmacy (Community/Retail Pharmacy)
50505 SCHOENHERR RD, SUITE 130
SHELBY TWP, MI 48315
Macomb County (586) 803-0800
DR. JOHN W LEE M.D.
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD, SUITE 290
SHELBY TWP, MI 48315
Macomb County (586) 314-0080

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 Dheeraj Thammineni's NPI number?

The NPI number for Dheeraj Thammineni is 1710115969. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Dheeraj Thammineni located?

Dheeraj Thammineni practices at 50505 Schoenherr Rd Suite 340, Shelby Township, MI 48315. The listed phone number is (586) 731-8400.

What is Dheeraj Thammineni's specialty?

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

Is Dheeraj Thammineni enrolled in Medicare?

Yes. Dheeraj Thammineni 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 Dheeraj Thammineni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Dheeraj Thammineni 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 Dheeraj Thammineni affiliated with any hospitals?

According to CMS data, Dheeraj Thammineni is affiliated with Mclaren Port Huron and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Dheeraj Thammineni was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.