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

Dr. Vishnu Teja Pemmaraju, MD

Individual provider Surgery Physician · NPI 1306376173

Dr. Vishnu Teja Pemmaraju, MD is a Colorectal Surgery (Proctology) in Wayne, Michigan. Graduated from Ohio State University College of Medicine in 2017, 9 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Ohio State University College of Medicine
Licensed in
MI
In the registry since
2017
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

3106 S Wayne Rd
Wayne, MI 48184-1221
Phone: (734) 722-6300
Fax: (734) 722-4815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 — (248) 551-0268

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 4301510107 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301510107 (MI)

Record details

NPI number1306376173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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