JAGANNADHARAO DIVVELA (MD) – Internal Medicine Physician, NPI 1093790867

Internal Medicine Physician

JAGANNADHARAO DIVVELA (MD) is a healthcare provider. based in Sterling heights, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301039338 (MI). The NPI Number for JAGANNADHARAO DIVVELA (MD) is 1093790867

Main info

Male

53 Years Of Experience

Accepts Medicare Assignment

Name

JAGANNADHARAO DIVVELA (MD)

NPI

1093790867

Phone

(586) 795-4060

Address

8244 METROPOLITAN PKWY

Enumeration Date

14 December 2005

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5867954060

Graduation Year

1973 (53 years ago)

PAC ID

3072413343

Group Practice PAC ID

2365355625

Professional Enrollment ID

I20040112000261

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAGANNADHARAO DIVVELA (MD)

Metro Diagnostic Imaging, 8244, Metropolitan Parkway, Sterling Heights, Macomb County, Michigan, 48312, United States
SUITE C
STERLING HEIGHTS, MI 483122778
Phone: (586) 795-4060
Fax: (586) 795-5596
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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48312)

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Provider's Procedures

JAGANNADHARAO DIVVELA (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	MI	81002	Urinalysis, manual test	146	129

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: 2365355625View full group profile

Name	Specialty	State
STEVEN M HUDOCK (MD)	Family Practice	MI
BAKULKUMAR M PATEL (MD)	N E U R O L O G Y	MI
ELIE BANNA (MD)	-	MI
MARK HAMEED STEPHEN (M.D.)	Internal Medicine	MI
DR. LALITHA KONERU (MD)	Internal Medicine	MI
SRINIVAS KONERU (MD)	Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease	MI
DR. AMITA GUPTA (M.D.)	Internal Medicine	MI
DR. FATEN S AYYOUB (MD)	Internal Medicine, Nephrology	MI
GORDHAN G DIORA (MD)	Internal Medicine	MI

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Frequently asked questions

What number should I use to identify JAGANNADHARAO DIVVELA (MD) for billing?

Administrative and clinical systems typically use NPI 1093790867 for JAGANNADHARAO DIVVELA (MD).

Does the public listing show JAGANNADHARAO DIVVELA (MD) as active?

JAGANNADHARAO DIVVELA (MD)'s NPI record reflects an active status in NPPES.

What services align with JAGANNADHARAO DIVVELA (MD)'s listing?

JAGANNADHARAO DIVVELA (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What city is tied to JAGANNADHARAO DIVVELA (MD)?

The directory associates JAGANNADHARAO DIVVELA (MD) with Sterling Heights, Michigan. Check all listed addresses for suites or satellite offices.

Can I export JAGANNADHARAO DIVVELA (MD)'s record?

You can download the official NPPES record; we summarize key fields for readability.