Individual provider Active NPI

Bharanidhar Chandrasekaran, MD

  • Vascular & Interventional Radiology Physician
  • Galveston, TX
National Provider Identifier
1083844534
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
R1715 Issued in TX
Practice address
301 University Blvd Radiology
Galveston, TX 77555-0001
Phone
(409) 747-2849
Fax
(409) 772-7120
NPI assigned
Jul 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301089532 MI
Vascular & Interventional Radiology Physician 2085R0204X R1715 TX Primary

Addresses

Primary practice location

301 University Blvd Radiology
Galveston, TX 77555-0001

Mailing address

301 University Blvd Radiology
Galveston, TX 77555-5302
Phone (409) 747-2849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716002106 IA Practitioner - Diagnostic RadiologyPractitioner - Interventional RadiologyPractitioner - Internal Medicine 3274667100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Associates, P.C.Group PAC ID 7113820788, 20 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301089532MIMDInternal Medicine Physician
R1715TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Associates, P.C. CurrentSince Jul 22, 2018 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Mar 25, 2020 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Mar 25, 2020 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

12499 University Ave
Clive, IA 50325
Phone (515) 245-6425

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1601 NW 114th St
Ste 128
Des Moines, IA 50325
Phone (515) 222-7550

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

2006 N 4th St
Ste 202B
Indianola, IA 50125
Phone (515) 358-7680

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

522 N Hancock St
Ottumwa, IA 52501
Phone (641) 683-0800

Interoperability endpoints

  • Direct secure messaging: bharanidhar.chandrasekaran.p1@direct.iowaheart.nextgenshare.com
  • Direct secure messaging: bchandrasekaran3941644@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083844534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD RADIOLOGY",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-2849",
            "fax_number": "409-772-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD RADIOLOGY",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-747-2849",
            "fax_number": "409-772-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "BHARANIDHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089532",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.