Nitin Chowdary Chilukuri
Individual provider Active NPI Surgery Physician · Niles, MI
NPI 1437787017 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1437787017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301514514 (MI)
- Practice address
- 42 N Saint Joseph Ave
Niles, MI 49120-2203 - Phone
- (269) 684-6696
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Hospitals at Niles and St Joseph Inc
Lakeland Medical Practices
Practice addresses (Care Compare)
1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
42 N Saint Joseph Ave
Suite 100
Niles, MI 49120-2203
Phone (269) 684-6696
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250708001701 | MI | Practitioner - General Surgery | 5294150934 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301514514 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current |
Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current |
Accepting new patients |
Locations
42 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 684-6696
42 N Saint Joseph Ave
Ste 100
Niles, MI 49120
Phone (269) 684-6696
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
Interoperability endpoints
- nchilukuri883909@direct.hfhs.org
- nchilukuri3248875@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30723 | MN | |
| Surgery Physician | 208600000X | 4301514514 | MI | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
42 N Saint Joseph Ave
Niles, MI 49120-2203
Mailing address
42 N Saint Joseph Ave Ste 100
Niles, MI 49120-2203
Phone (269) 684-6696
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 429-0900
NPI Registry JSON
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1437787017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 N SAINT JOSEPH AVE STE 100",
"city": "NILES",
"state": "MI",
"postal_code": "491202203",
"telephone_number": "269-684-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 N SAINT JOSEPH AVE",
"city": "NILES",
"state": "MI",
"postal_code": "491202203",
"telephone_number": "269-684-6696"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-429-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILUKURI",
"first_name": "NITIN",
"middle_name": "CHOWDARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "30723",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301514514",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.