LALITHA RUDRAIAH (MD) – Cardiovascular Disease Physician, NPI 1619072055
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI
Provider Addresses for LALITHA RUDRAIAH (MD)
133 S Main St
Mount Clemens, MI 480432308
Phone: (586) 468-1600
Fax: (586) 465-0329
Type: Location
2689 SOLUTION CENTER
CHICAGO, IL 606773848
Phone: (586) 329-1880
Fax: (586) 231-0055
Type: Mailing
15500 19 MILE RD STE 360
CLINTON TOWNSHIP, MI 480386331
Phone: (586) 649-9009
Fax: (586) 690-8632
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: ABIOMED ($272).
Total Amount
$293
General + Research + Ownership
Payments
3
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $272 |
| Boston Scientific Corporation | $21 |
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: 2007-01-11
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 |
|---|---|---|---|---|
| I20070111000127 | I | Cardiovascular Disease (Cardiology) | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 323 | 316 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 90 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 74 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 39 | 19 | $0 |
Insurance plans in this area (ZIP 48043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 39 | 39 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MI | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 54 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Gastroenterology, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| O P H T H A L M O L O G Y | MI | |
| - | MI | |
| - | MI |
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