Active NPI
Lokesh R Edara, MD
- Allergy Physician
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- LE055658
- Practice address
- 126 College St
Battle Creek, MI 49017-3461 - Phone
- (269) 968-3622
- Fax
- (269) 968-2103
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | LE055658 | MI | Primary |
Addresses
Primary practice location
126 College St
Battle Creek, MI 49017-3461
Mailing address
49 S Cass St
Suite 1B
Battle Creek, MI 49017-2331
Phone (269) 969-8920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102640222 | Medicaid | MI |
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
- Allergy/Immunology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 College St
Battle Creek, MI 49037-3461
Phone (269) 968-3030
1324 W Milham Ave
Suite 1
Portage, MI 49024-2239
Phone (269) 342-0196
360 E Chicago St
Suite 109
Coldwater, MI 49036-2074
Phone (517) 278-9025
833 Laurence Ave
Jackson, MI 49202-2981
Phone (517) 782-1700
Hospital & facility affiliations
- Bronson Methodist Hospital
- Bronson Battle Creek Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE055658 | MI | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pradhan Center for Women PLC | Past | Accepting new patients | |
| Asthma Allergy Care Centers PC | Allergy | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Allergy Physician
- Battle Creek, MI
- NPI 1699721928
-
- Allergy Physician
- Battle Creek, MI
- NPI 1003868233
-
- Obstetrics & Gynecology Physician
- Coldwater, MI
- NPI 1831379379
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1104890490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 S CASS ST",
"address_2": "SUITE 1B",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490172331",
"telephone_number": "269-969-8920",
"fax_number": "269-969-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 COLLEGE ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173461",
"telephone_number": "269-968-3622",
"fax_number": "269-968-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDARA",
"first_name": "LOKESH",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "LE055658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102640222",
"state": "MI"
}
],
"endpoints": [],
"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 Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.