DR. SASI B BOPPANA (M.D.) – Internal Medicine Physician, NPI 1528053196

DR. SASI B BOPPANA (M.D.) is a healthcare provider. based in Wayne, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301073741 (MI). The NPI Number for DR. SASI B BOPPANA (M.D.) is 1528053196

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SASI B BOPPANA (M.D.)
NPI
1528053196
Phone
(734) 722-2400
Address
34659 W MICHIGAN AVE
Enumeration Date
20 September 2005
Last Update Date
25 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347222400
Graduation Year
1995 (31 years ago)
PAC ID
6901906759
Group Practice PAC ID
5395845143
Professional Enrollment ID
I20070710000535
Address ID
MI481841730WA34659AVEX400
Telehealth
Yes
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

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. SASI B BOPPANA (M.D.)

  • Michigan Avenue, Dearborn, Wayne County, Michigan, 48126, United States

    WAYNE, MI 481841730

    Phone: (734) 722-2400

    Fax: (734) 722-1709

    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 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-07-10

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
I20070710000535IInternal MedicineMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes28784$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9226$0
G0444Annual depression screening, 5 to 15 minutes5757$0
99213Established patient office or other outpatient visit, 20-29 minutes5330$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
View full utilization report →

Insurance plans in this area (ZIP 48184)

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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: 5395845143View full group profile
NameSpecialtyState
Internal MedicineMI

Reviews

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Frequently asked questions

Can I cross-check DR. SASI B BOPPANA (M.D.) using NPI 1528053196?
NPI 1528053196 belongs to DR. SASI B BOPPANA (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. SASI B BOPPANA (M.D.)?
For scheduling context, DR. SASI B BOPPANA (M.D.) is shown as active in the registry.
How would a patient describe DR. SASI B BOPPANA (M.D.)'s focus?
For DR. SASI B BOPPANA (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. SASI B BOPPANA (M.D.) registered?
Use Wayne, Michigan as the headline location for DR. SASI B BOPPANA (M.D.) here.
Can I trust this NPI listing for DR. SASI B BOPPANA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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