DR. KAVITHA PONDURI (M.D.) – Internal Medicine Physician, NPI 1679568315
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for DR. KAVITHA PONDURI (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)
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: 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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070710000509 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 485 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 43 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 69 | 69 | $0 |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | 53 | 51 | $0 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 52 | 18 | $0 |
Insurance plans in this area (ZIP 48184)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 85610 | Blood test, clotting time | 130 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI |
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