PRAVALIKA RUDRARAJU (MD) – Internal Medicine Physician, NPI 1407474562

PRAVALIKA RUDRARAJU (MD) is a healthcare provider. based in Garden city, Michigan. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. U1556 (TX). The NPI Number for PRAVALIKA RUDRARAJU (MD) is 1407474562

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
PRAVALIKA RUDRARAJU (MD)
NPI
1407474562
Phone
(734) 458-4486
Address
6245 INKSTER RD DEPT OF
Enumeration Date
6 July 2020
Last Update Date
1 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9402633000
Graduation Year
2018 (8 years ago)
PAC ID
6608299730
Group Practice PAC ID
0749540045
Professional Enrollment ID
I20230424001478
Address ID
TX763014300WI1600XSTXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for PRAVALIKA RUDRARAJU (MD)

  • 6245 INKSTER RD DEPT OF

    GARDEN CITY, MI 481354001

    Phone: (734) 458-4486

    Type: Location

  • 1631 11th Street

    Unit B

    Wichita Falls, TX 763017630

    Phone: (940) 263-3000

    Fax: (940) 263-3018

    Type: Location

  • 1625 N CAMPBELL AVE

    TUCSON, AZ 857194330

    Phone: (520) 694-0111

    Fax: (520) 694-6204

    Type: Mailing

  • 6245 Inkster Rd Dept Of

    Garden City, MI 481354001

    Phone: (734) 458-4486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Inari Medical, Inc. ($92).

Total Amount

$209

General + Research + Ownership

Payments

7

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2023-04-24

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
I20230424001478IInternal MedicineTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes243115$0
99239Hospital discharge day management, more than 30 minutes4343$0
99238Hospital discharge day management, 30 minutes or less2929$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 48135)

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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: 0749540045View full group profile
NameSpecialtyState
Internal MedicineTX
Family PracticeTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineAZ
Internal Medicine, HospitalistTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineMD

Reviews

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Frequently asked questions

What unique ID ties claims to PRAVALIKA RUDRARAJU (MD)?
NPI 1407474562 is assigned to PRAVALIKA RUDRARAJU (MD) under the national enumeration system.
Does this profile mean PRAVALIKA RUDRARAJU (MD) is currently active?
Yes — PRAVALIKA RUDRARAJU (MD) appears active in the national provider directory.
Does PRAVALIKA RUDRARAJU (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for PRAVALIKA RUDRARAJU (MD). Clinical services aligned with this taxonomy classification.
Where is PRAVALIKA RUDRARAJU (MD)'s primary listing?
We display Garden City, Michigan because that is what the record indicates for PRAVALIKA RUDRARAJU (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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