DR. VISHNU TEJA PEMMARAJU (MD) – Colon & Rectal Surgery Physician, NPI 1306376173
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
107 COLORECTAL SURGERY (PROCTOLOGY) in MI
Provider Addresses for DR. VISHNU TEJA PEMMARAJU (MD)
3577 W 13 Mile Rd
Royal Oak, MI 480736710
Phone: (248) 551-0268
Type: Location
3106 S WAYNE RD
WAYNE, MI 481841221
Phone: (734) 722-6300
Fax: (734) 722-4815
Type: Location
Barnhill Drive, Indianapolis, Marion, Indiana, 46202-5816, United States
INDIANAPOLIS, IN 462025112
Phone:
Type: Mailing
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-2673
Fax: (248) 898-1517
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $562.
Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Axonics, Inc. ($283).
Total Amount
$562
General + Research + Ownership
Payments
9
Total payment records
General Amount
$562
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $283 |
| Boston Scientific Corporation | $142 |
| Olympus Corporation of the Americas | $101 |
| CSL Behring | $20 |
| Takeda Pharmaceuticals U.S.A., Inc. | $15 |
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: 2023-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231005000918 | I | Colorectal Surgery (Proctology) | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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