NITHIN S PEDDIREDDY (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1326530866

NITHIN S PEDDIREDDY (MD) is a healthcare provider. based in Detroit, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 35.147752 (OH). The NPI Number for NITHIN S PEDDIREDDY (MD) is 1326530866

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NITHIN S PEDDIREDDY (MD)
NPI
1326530866
Phone
(800) 527-6266
Address
4100 JOHN R ST
Enumeration Date
31 May 2018
Last Update Date
3 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8005276266
Graduation Year
2018 (8 years ago)
PAC ID
1355696576
Group Practice PAC ID
3870407901
Professional Enrollment ID
I20240604000572
Address ID
MI482012013DE4100XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

41 OTOLARYNGOLOGY in ME

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Provider Addresses for NITHIN S PEDDIREDDY (MD)

  • 4100 JOHN R ST

    DETROIT, MI 482012013

    Phone: (800) 527-6266

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    1903 TC

    ANN ARBOR, MI 481095312

    Phone:

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-04

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
I20240604000572IOtolaryngologyMITBD

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.

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

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: 3870407901View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Qualified Speech Language PathologistMI
Hematology/Oncology, Internal MedicineMI
H E M A T O L O G Y/ O N C O L O G YAL
Internal Medicine, Hematology/OncologyMI
Medical Oncology, Internal MedicineMI
Internal Medicine, HematologyNY
Thoracic Surgery, General SurgeryMI
Diagnostic Radiology, Nuclear MedicineMI

Reviews

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Frequently asked questions

How is NITHIN S PEDDIREDDY (MD) identified in CMS data?
CMS-hosted NPPES data lists NITHIN S PEDDIREDDY (MD) with NPI 1326530866.
Does the file indicate NITHIN S PEDDIREDDY (MD) is practicing under active NPI?
Directory data currently reports NITHIN S PEDDIREDDY (MD) as active.
What is NITHIN S PEDDIREDDY (MD)'s primary classification?
Plastic Surgery within the Head & Neck (Otolaryngology) Physician is the headline specialty for NITHIN S PEDDIREDDY (MD) here. Clinical services aligned with this taxonomy classification.
Does NITHIN S PEDDIREDDY (MD) list a practice location?
Patients near Detroit, Michigan may find NITHIN S PEDDIREDDY (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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