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Active NPI 1346444270 Individual Practitioner Male Practitioner

Dr. Pavan Brahmamdam , MD

Surgery • Royal Oak, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pavan Brahmamdam, MD is a certified Surgery practicing in Royal Oak, MI. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Brahmamdam delivers high-quality medical care to the local community at 3535 W 13 MILE RD STE 307.

Dr. Brahmamdam is affiliated with Beaumont Medical Group- Specialty Services and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3535 W 13 Mile Rd Ste 307

Royal Oak, MI 480736770

Telephone 2485512400
Fax 2485516556
Associated Practice Facility / Clinic
🏢 Botsford General Hospital Facility NPI 1114935566

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Royal Oak, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +0.3 yrs vs City Avg
City Avg: 20.7 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
70 Specialists

Practicing in Royal Oak, MI (1479 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brahmamdam (21 Years) 21 Yrs
Royal Oak Specialty Average (20.7 Years) 20.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-10-24
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301101193

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License MI 4301101193

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License MI 4301101193

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Institutional Permit
BP1-0022823

Hospital & Practice Group Affiliations

Beaumont Medical Group- Specialty Services

28100 Grand River Ave, Farmington Hills, MI 483365970

Beaumont Medical Group- Specialty Services

3535 W 13 Mile Rd, Royal Oak, MI 480736770

Secondary Practice Locations

44199 Dequindre Rd Ste 615

Troy, MI 480851128

Phone: 2489649660

18101 Oakwood Blvd

Dearborn, MI 481244089

Phone: 3135937000

6900 Orchard Lake Rd Ste Ll-100

West Bloomfield, MI 483223424

Phone: 2488557852

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003020611

Doctor of Medicine (M.D.)

Dr. Anthony Stallion , MD

Surgery - Pediatric Surgery

NPI 1265499206

Doctor of Medicine (M.D.)

Dr. Nathan Novotny , MD

Surgery - Pediatric Surgery

NPI 1730346180

Doctor of Medicine (M.D.)

Robert Morden

Surgery - Pediatric Surgery

NPI 1912967597

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 24, 2023

Registered at 3535 W 13 MILE RD STE 307, ROYAL OAK, MI 480736770 (Tel: 2485512400)

📍
Updated Business Mailing Address October 24, 2023

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849 (Tel: 9475221952)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2023

Surgery (License #4301101193 in MI)

📍
Updated Practice Location July 28, 2022

Registered at 3535 W 13 MILE RD # 307, ROYAL OAK, MI 480736770 (Tel: 2485512400)

📍
Updated Business Mailing Address July 28, 2022

Registered at 26901 BEAUMONT BLVD # 3D, SOUTHFIELD, MI 480333849 (Tel: 9475221952)

NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2015

Registered at 3535 W 13 MILE RD # 307, MEDICAL OFFICE BUILDING, ROYAL OAK, MI 480736770 (Tel: 2485512400)

📍
Updated Business Mailing Address September 14, 2015

Registered at 130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 480841744 (Tel: 2485858218)

👤
Provider Name / Credentials Updated September 14, 2015

Recorded as PAVAN BRAHMAMDAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Surgery (License #4301101193 in MI)

🟢
Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346444270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: October 24, 2023
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

Phone: 9475221952

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.