SIDDHARTHA DANDAMUDI MD
NPI 1942094701
Orthopaedic Surgery in Novi, MI

Active since April 07, 2025PECOS Enrolled
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Siddhartha Dandamudi Md NPPES

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

SIDDHARTHA DANDAMUDI MD (NPI 1942094701) is an individual orthopaedic surgery provider in Novi, Michigan, licensed in Michigan (4351054288) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942094701
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSIDDHARTHA DANDAMUDICredential: MD
Location Address26750 PROVIDENCE PKWY STE 200Novi, MI 48374-1212
Mailing Address26750 Providence Pkwy Ste 200Novi, MI 48374-1212 · (866) 974-2673 · Fax (866) 939-2673
Fax(866) 939-2673
Sole ProprietorNo
Enumeration DateApril 7, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1942094701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4351054288
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

26750 PROVIDENCE PKWY STE 200, Novi, MI 48374

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Siddhartha Dandamudi 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 48374 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 17

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

Physician Assistant (Surgical)
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Physical Therapist (Orthopedic)
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Physician Assistant
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Student in an Organized Health Care Education/Training Program
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Student in an Organized Health Care Education/Training Program
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Pain Medicine (Interventional Pain Medicine)
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942094701, enumerated as an "individual" on April 07, 2025.

The provider is located at 26750 PROVIDENCE PKWY STE 200 NOVI, MI 48374 and the phone number is (866) 974-2673.

Orthopaedic Surgery with taxonomy code 207X00000X.