Active NPI
Sridhar Chalasani, MD
- Colon & Rectal Surgery Physician
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- SC077498
- Practice address
- 3770 Capital Ave SW
Ste a
Battle Creek, MI 49015-9411 - Phone
- (269) 441-1771
- Fax
- (269) 441-1773
- NPI assigned
- Nov 18, 2005
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | SC077498 | MI | Primary |
Addresses
Primary practice location
3770 Capital Ave SW
Ste a
Battle Creek, MI 49015-9411
Mailing address
3770 Capital Ave SW
Suite a
Battle Creek, MI 49015-9411
Phone (269) 441-1771
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280001089 | Other | RAILROAD MEDICARE | |
| 4408297 | Medicaid | MI | |
| 0105542 | Other | CIGNA | |
| 135082 | Other | GREAT LAKES | |
| 7512375 | Other | AETNA | |
| 1063494607 | Medicaid | MI | |
| 1430026 | Other | PHYSICIANS HEALTH PLAN | |
| 383125785105 | Other | COMMUNITY CHOICE MICHIGAN | |
| P116414 | Other | BLUE CARE NETWORK | |
| 134398 | Other | PREFERRED CHOICES | |
| 1417961137 | Other | MI | BCBS BRONSON |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 John St
Suite M 124
Kalamazoo, MI 49007-5377
Phone (269) 341-8383
Hospital & facility affiliations
- Bronson Battle Creek Hospital
- Bronson Methodist Hospital
- Bronson Lakeview Hospital
- Bronson South Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.43 of 100
- Quality
- 75.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.38
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.89 of 100
- Quality
- 95.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 124 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC077498 | MI | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients |
Locations
3770 Capital Ave SW
Ste A
Battle Creek, MI 49015
Phone (269) 441-1771
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
601 John St
Ste M452
Kalamazoo, MI 49007
Phone (269) 341-6022
408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
Interoperability endpoints
- direct@direct.bronsonhg.org
- schalasani10395@direct.bronsonhg.org
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bronson Lakeview Hospital | Hospital | Corporate Officer | Jan 1, 2020 |
| Bronson South Haven Hospital | Hospital | Corporate Officer | Jan 1, 2020 |
| Bronson Lakeview Hospital | Hospital | Corporate Officer | Jan 1, 2020 |
| Bronson Lakeview Family Care-Paw Paw | Rural health clinic | Corporate Officer | Jan 1, 2020 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Bronson Lakeview Family Care-Paw Paw
- Rural Health Clinic/Center
- Paw Paw, MI
- NPI 1356565170
Corporate Officer
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
Corporate Officer
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
dba Bronson Medical Group
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- Ambulatory Surgical Clinic/Center
- Battle Creek, MI
- NPI 1306963020
-
dba Bronson LakeView Family Care-Blue Star
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1063494607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3770 CAPITAL AVE SW",
"address_2": "SUITE A",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490159411",
"telephone_number": "269-441-1771",
"fax_number": "269-441-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 CAPITAL AVE SW",
"address_2": "STE A",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490159411",
"telephone_number": "269-441-1771",
"fax_number": "269-441-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALASANI",
"first_name": "SRIDHAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2023-11-27",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "SC077498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "280001089",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4408297",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0105542",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "135082",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7512375",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063494607",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "1430026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE MICHIGAN",
"identifier": "383125785105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P116414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICES",
"identifier": "134398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BRONSON",
"identifier": "1417961137",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.