Individual provider Active NPI

Ramachandra B Kolachalam, MD

  • Surgery Physician
  • Novi, MI
National Provider Identifier
1386687010
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RK060299 Issued in MI
Practice address
26850 Providence Parkway
#460
Novi, MI 48374-1265
Phone
(248) 662-4272
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RK060299 MI Primary

Addresses

Primary practice location

26850 Providence Parkway
#460
Novi, MI 48374-1265

Mailing address

26850 Providence Parkway
#460
Novi, MI 48374-1265
Phone (248) 662-4272

Other names 1

  • R B Kolachalam Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000255 MI Practitioner - General Surgery 2466521141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26850 Providence Pkwy
Suite 460
Novi, MI 48374-1265
Phone (248) 662-4272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)19
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RK060299MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramachandra Kolachalam, MD PC Surgery CurrentSince Sep 1, 1996 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

26850 Providence Pkwy
Ste 460
Novi, MI 48374
Phone (248) 662-4272

22250 Providence Dr
Ste 703
Southfield, MI 48075
Phone (248) 557-5717

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: rkolachalam1135002@direct.hfhs.org
  • Direct secure messaging: ramachandra.kolachalam@rbkmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEJDBA/Endpoint/FEJDBA

Organizations & group practices 2

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 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1386687010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PARKWAY",
            "address_2": "#460",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741265",
            "telephone_number": "248-662-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PARKWAY",
            "address_2": "#460",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741265",
            "telephone_number": "248-662-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLACHALAM",
        "first_name": "RAMACHANDRA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "RK060299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "KOLACHALAM",
            "middle_name": "B",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.