DR. SAMBA SIVA REDDY BATHULA (M.D) – Otolaryngology Physician, NPI 1013223239

DR. SAMBA SIVA REDDY BATHULA (M.D) is a healthcare provider. based in Detroit, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D. They hold a License No. 4301096231 (MI). The NPI Number for DR. SAMBA SIVA REDDY BATHULA (M.D) is 1013223239

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMBA SIVA REDDY BATHULA (M.D)
NPI
1013223239
Phone
(313) 966-9471
Address
4160 JOHN R ST STE 1007
Enumeration Date
25 August 2010
Last Update Date
30 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
8527204817
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20130410000512
Address ID
MI482012018DE3990XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

428 OTOLARYNGOLOGY in MI

Provider Addresses for DR. SAMBA SIVA REDDY BATHULA (M.D)

  • 4160 JOHN R ST STE 1007

    DMC ENT-HARPER PROFESSIONAL BUILDING

    DETROIT, MI 482012017

    Phone: (313) 966-9471

    Fax: (313) 966-9470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2023-02-03 • Largest payer in this snapshot: Stryker Corporation ($148).

Total Amount

$148

General + Research + Ownership

Payments

1

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$148
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130410000512IOtolaryngologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes159118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14863$0
99214Established patient office or other outpatient visit, 30-39 minutes9163$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9085$0
31575Diagnostic exam of voice box using a flexible endoscope5955$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921289760View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI
Physician AssistantMI

Reviews

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Frequently asked questions

How is DR. SAMBA SIVA REDDY BATHULA (M.D) identified in CMS data?
CMS-hosted NPPES data lists DR. SAMBA SIVA REDDY BATHULA (M.D) with NPI 1013223239.
Does CMS list DR. SAMBA SIVA REDDY BATHULA (M.D) as active?
Yes — DR. SAMBA SIVA REDDY BATHULA (M.D) is active in the NPI listing used on this page.
What is DR. SAMBA SIVA REDDY BATHULA (M.D)'s specialty?
The listing groups DR. SAMBA SIVA REDDY BATHULA (M.D) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does DR. SAMBA SIVA REDDY BATHULA (M.D) list a practice location?
Patients near Detroit, Michigan may find DR. SAMBA SIVA REDDY BATHULA (M.D) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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