1. Home
  2. Directory
  3. Michigan
  4. Roseville
  5. Psychiatry Neurology
  6. NPI Profile

DR. VISALA DANDAMUDI M.D.
NPI 1982632691
Psychiatry & Neurology - Psychiatry in Roseville, MI

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
25869 KELLY RD, SUITE A, ROSEVILLE, MI 48066(586) 773-6020(586) 773-6093 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Visala Dandamudi M.d. NPPES

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

DR. VISALA DANDAMUDI M.D. (NPI 1982632691) is an individual psychiatry provider in Roseville, Michigan, licensed in Michigan (4301080937) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Brighton Center For Recovery, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1982632691
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. VISALA DANDAMUDICredential: M.D.
Location Address25869 KELLY RD, SUITE ARoseville, MI 48066-4997
Mailing Address25869 Kelly Rd, Suite ARoseville, MI 48066-4997 · (586) 773-6020 · Fax (586) 773-6093
Phone(586) 773-6020
Fax(586) 773-6093
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 1, 2008
✔ NPI 1982632691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301080937
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
25869 KELLY RD, Roseville, MI 48066
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINI03049MI
Medicare ID-Type Unspecified0N99050002MI
Medicaid4658039MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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. Visala Dandamudi 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 ID3173513140
PECOS Enrollment IDI20040513000530
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Ascension Brighton Center For Recovery

Acute Care Hospitals · Brighton, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230279
Location12851 Grand River RdBrighton, MI 48116 · Livingston County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
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 9

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

BIOLOGICAL PSYCHIATRY CENTER, P.C.
Social Worker (Clinical)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
KATHRINE MOBISSON III M.D.
Psychiatry & Neurology (Psychiatry)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
MS. DIANE GAIL RUSSELL M.S.W.
Social Worker (Clinical)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
DR. ELIZABETH CORNELIA DEROOY PH.D.
Psychologist (Clinical)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
DR. HARESH S MEHTA M.D.
Psychiatry & Neurology (Psychiatry)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
BIOLOGICAL PSYCHIATRY CENTER, PC
Social Worker (Clinical)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
PAMELA ANN BLAIR LMSW
Social Worker (Clinical)
25869 KELLY RD, STE A
ROSEVILLE, MI 48066
Macomb County (586) 773-6020
MS. CHRISTINE KELLER M.A., L.L.P.
Psychologist (Counseling)
25869 KELLY RD, SUITE A
ROSEVILLE, MI 48066
Macomb County (596) 773-6020

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 Visala Dandamudi's NPI number?

The NPI number for Visala Dandamudi is 1982632691. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Visala Dandamudi located?

Visala Dandamudi practices at 25869 Kelly Rd Suite A, Roseville, MI 48066. The listed phone number is (586) 773-6020.

What is Visala Dandamudi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Visala Dandamudi enrolled in Medicare?

Yes. Visala Dandamudi 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 Visala Dandamudi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Visala Dandamudi 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 Visala Dandamudi affiliated with any hospitals?

According to CMS data, Visala Dandamudi is affiliated with Ascension Brighton Center For Recovery.

When was this NPI record last updated?

The NPPES record for Visala Dandamudi was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.