Vishnu Pemmaraju, MD
Vishnu Pemmaraju, MD is a healthcare organization registered as Colon & Rectal Surgery Physician in Wayne, MI, holding Type 2 (organization) NPI 1104629732 since 2025. The authorized official on file is Vishnu Pemmaraju, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104629732 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vishnu Pemmaraju, MD |
| Practice address | 3106 S WAYNE RD, Wayne, MI, 48184 |
| Phone | 7347226300 |
| Fax | 7347224815 |
| Enumeration date | 2025-03-29 |
| Last updated in NPPES | 2025-03-29 |
Authorized official
| Name | Vishnu Pemmaraju |
|---|---|
| Title | Owner |
| Phone | 2486355038 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | Primary | — | — |
Copy-ready billing details
Provider: Vishnu Pemmaraju, MD NPI: 1104629732 Taxonomy: 208C00000X (Colon & Rectal Surgery Physician) Address: 3106 S WAYNE RD, Wayne, MI, 48184
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619950631 | Ganesh Deshmukh | Individual | Colon & Rectal Surgery Physician | Wayne, MI |
| 1427289883 | Adewunmi Adeyemo | Individual | Surgery Physician | Wayne, MI |
| 1861832578 | Michigan Surgical Associates Pllc | Organization | Surgery Physician | Wayne, MI |
| 1164813739 | Olufunke Adeyemo | Individual | Pediatrics Physician | Wayne, MI |
| 1497119689 | South Eastern Michigan Colon & Rectal Surgery | Organization | Colon & Rectal Surgery Physician | Wayne, MI |
| 1306376173 | Vishnu Pemmaraju | Individual | Colon & Rectal Surgery Physician | Wayne, MI |
| 1710566310 | Fairfield Pediatrics Pllc | Organization | Pediatrics Physician | Wayne, MI |
Verify this record
Cross-check NPI 1104629732 against the authoritative CMS record: view Vishnu Pemmaraju, MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Vishnu Pemmaraju, MD?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-29.