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

Niveditha Shivakumar Mudegowdra

Individual provider Internal Medicine Physician · NPI 1255750980

Niveditha Shivakumar Mudegowdra is an Internal Medicine in Kalamazoo, Michigan. Qualified in 2009, 17 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

805 John St
Kalamazoo, MI 49001
Phone: (269) 286-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6071 W Outer Dr, Detroit, MI 48235-2624 — (313) 966-3250

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 4301105276 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301105276 (MI)

Record details

NPI number1255750980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESAugust 8, 2022
Certification dateJuly 29, 2022
Mailing address31244 Country Way, Farmington Hills, MI 48331-1041

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kalamazoo