Active NPI
Krishnavel V Chathadi, MD
- Gastroenterology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301072422
- Practice address
- 5300 Elliott Dr
Ypsilanti, MI 48197-8632 - Phone
- (734) 434-6262
- NPI assigned
- Aug 15, 2006
- Last updated
- Sep 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 42387 | CO | |
| Gastroenterology Physician | 207RG0100X | 4301072422 | MI | Primary |
Addresses
Primary practice location
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Mailing address
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141-8573
Phone (314) 996-7644
Other practice location 1
12855 N 40 Dr
Ste 175
Saint Louis, MO 63141-8657
Phone (866) 236-5566
Other practice location 2
3304 Cooley Ct
Portage, MI 49024-7430
Phone (269) 349-2266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21387508 | Medicaid | CO | |
| 4301072422 | Other | MI | STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hurongastro@directaddress.net | Health Information Exchange (HIE) | |
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
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
- Internal Medicine
- Education
- Northwestern University Feinberg Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3304 Cooley CT
Portage, MI 49024-7430
Phone (269) 349-2266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 46 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072422 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
| Promedica Monroe Physicians | Family Medicine | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Gastroenterology | Current | Accepting new patients |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| St Mary Mercy Hospital | Current | Accepting new patients | |
| Center for Digestive Care LLC | Past | Accepting new patients |
Locations
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
20555 Victor Pkwy
#3A
Livonia, MI 48152
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
36650 5 Mile Rd
Livonia, MI 48154
Phone (734) 434-6262
36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314
36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262
7825 N Dixie Hwy
#101
Newport, MI 48166
Phone (734) 240-4580
3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
Interoperability endpoints
- direct@direct.bronsonhg.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- hurongastro@directaddress.net
Organizations & group practices 9
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
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1528145554
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1447953971
-
- Ambulatory Surgical Clinic/Center
- Ypsilanti, MI
- NPI 1164528527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1417960634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 MASON RIDGE CENTER DR",
"address_2": "STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418573",
"telephone_number": "314-996-7644",
"fax_number": "314-996-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 ELLIOTT DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978632",
"telephone_number": "734-434-6262"
}
],
"practiceLocations": [
{
"address_1": "12855 N 40 Dr",
"address_2": "Ste 175",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418657",
"country_code": "US",
"telephone_number": "866-236-5566",
"fax_number": "314-628-9696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3304 Cooley Ct",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "490247430",
"country_code": "US",
"telephone_number": "269-349-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHATHADI",
"first_name": "KRISHNAVEL",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "42387",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301072422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21387508",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
"identifier": "4301072422",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hurongastro@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML,PDF",
"address_1": "5300 Elliott Dr",
"city": "Ypsilanti",
"state": "MI",
"country_code": "US",
"postal_code": "481978632",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"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 Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.