SAILAJA DATLA MD PLC
NPI 1881928455
Internal Medicine in Saint Clair Shores, MI
About Sailaja Datla Md Plc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAILAJA DATLA MD PLC (NPI 1881928455) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since September 2009. The organization lists Sailaja Datla, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sailaja Datla Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sailaja Datla MD Plc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sailaja Datla MD Plc's NPI number?
The NPI number for Sailaja Datla MD Plc is 1881928455. It was assigned to this organization in the NPPES registry on September 29, 2009.
Where is Sailaja Datla MD Plc located?
Sailaja Datla MD Plc is located at 21519 Harper Ave Ste 108, Saint Clair Shores, MI 48080. The listed phone number is (586) 445-3706.
What is Sailaja Datla MD Plc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sailaja Datla MD Plc enrolled in Medicare?
Yes. Sailaja Datla MD Plc is registered in the Medicare PECOS enrollment system.
When is Sailaja Datla MD Plc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sailaja Datla MD Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sailaja Datla MD Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sailaja Datla MD Plc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sailaja Datla MD Plc 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.
When was this NPI record last updated?
The NPPES record for Sailaja Datla MD Plc was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Sailaja Datla Md Plc · NPI 1881928455
Internal Medicine organization in Saint Clair Shores, Michigan. Organization record, active in the CMS NPPES registry since September 29, 2009.
## Identity
- **NPI:** 1881928455 (Entity type: Organization)
- **Enumerated:** September 29, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sailaja Datla, OWNER
## Practice location
- **Address:** 21519 HARPER AVE STE 108, Saint Clair Shores, MI 48080-2220
- **Phone:** (586) 445-3706
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2009
- **Other identifiers:** Medicaid 4354525 (MI); Medicare UPIN 0N41150 (MI); Other 1105010262
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Source: [NPI Profile](https://npiprofile.com/npi/1881928455) · Data from the CMS NPPES public registry.