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

Madhumitha Krishnamoorthy

Individual provider Family Medicine Physician · NPI 1124438445

Madhumitha Krishnamoorthy is a Family Practice in Southfield, Michigan. Qualified in 2017, 9 years ago. Practices with Vhs Physicians of Michigan, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

26400 W 12 Mile Rd Ste 110
Southfield, MI 48034-1771
Phone: (734) 707-8086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 43011053135 (MI)

Record details

NPI number1124438445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2014
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address26400 W 12 Mile Rd Ste 110, Southfield, MI 48034-1771

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vhs Physicians Of Michigan — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Southfield