Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samba Siva Reddy Bathula, MD

Individual provider Pediatric Otolaryngology Physician · NPI 1013223239

Dr. Samba Siva Reddy Bathula, MD is an Otolaryngology in Detroit, Michigan. Qualified in 1998, 28 years ago. Practices with Vhs Physicians of Michigan, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2010
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

4160 John R St Ste 1007 Dmc Ent-Harper Professional Bldg
Detroit, MI 48201-2017
Phone: (313) 966-9471
Fax: (313) 966-9470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301096231 (MI)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 4301096231 (MI)

Record details

NPI number1013223239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 25, 2010
Last updated in NPPESMay 30, 2015

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Vhs Physicians Of Michigan — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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