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

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.

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 (134 clinicians)
Lakeland Medical Practices (286 clinicians)

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 Hospital · St Joseph, MI · CCN 230021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

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 IDStateProvider typePAC IDDetails
I20250708001701 MI Practitioner - General Surgery 5294150934 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4301514514MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices Current
since Jul 1, 2025
Accepting new patients
Lakeland Medical Practices Current
since Jul 1, 2025
Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Current
since Jan 19, 2026
Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Current
since Jan 19, 2026
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

  • Direct secure messaging: nchilukuri883909@direct.hfhs.org
  • Direct secure messaging: nchilukuri3248875@epic00.corewelldirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2026.

{
    "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

All providers in Niles, MI · Surgery Physician in Michigan

Sources for this page

Verify at the official NPI Registry.