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SRINADH CHERUKURI MD
NPI 1780473769
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since May 05, 2025PECOS Enrolled
MACOMB ACADEMIC CLINIC IM, 11885 E. 12 MILE RD., STE. 200B, WARREN, MI 48093(586) 582-6630 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Srinadh Cherukuri Md NPPES

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

SRINADH CHERUKURI MD (NPI 1780473769) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780473769
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSRINADH CHERUKURICredential: MD
Location AddressMACOMB ACADEMIC CLINIC IM, 11885 E. 12 MILE RD., STE. 200BWarren, MI 48093
Mailing AddressMacomb Academic Clinic Im, 11885 E. 12 Mile Rd., Ste. 200bWarren, MI 48093 · (586) 582-6630 · Fax (586) 582-6631
Phone(586) 582-6630
Sole ProprietorYes
Enumeration DateMay 5, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1780473769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MACOMB ACADEMIC CLINIC IM, Warren, MI 48093
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srinadh Cherukuri 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.

Other Providers at the Same Location NPPES

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

KANWAL AYAZ MD
Student in an Organized Health Care Education/Training Program
MACOMB ACADEMIC CLINIC IM, 11885 E. 12 MILE RD., STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630

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 Srinadh Cherukuri's NPI number?

The NPI number for Srinadh Cherukuri is 1780473769. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Srinadh Cherukuri located?

Srinadh Cherukuri practices at Macomb Academic Clinic Im 11885 E. 12 Mile Rd., Ste. 200B, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Srinadh Cherukuri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Srinadh Cherukuri enrolled in Medicare?

Yes. Srinadh Cherukuri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Srinadh Cherukuri was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.