Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Atul Medavaram, MD

Individual provider Internal Medicine Physician · NPI 1487215638

Atul Medavaram, MD is an Internal Medicine in Garden City, Michigan. Qualified in 2018, 8 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
8
Licensed in
IL, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6245 Inkster Rd
Garden City, MI 48135-4001
Phone: (734) 458-4486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Memorial Dr, Belleville, IL 62226-5360 — (618) 257-6220

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036162089 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4351044756 (MI)

Record details

NPI number1487215638
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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