Chalam Mahadevan, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

59827 Issued in GA

Practice address

4060 Johns Creek Pkwy
BLD E
Suwanee, GA 30024-1230

Phone

(678) 615-3511

Fax

(678) 395-4642

NPI assigned

May 7, 2007

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

General SurgeryAlso: Cardiac Surgery, Thoracic Surgery, Vascular Surgery

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Atlanta Vein Clinic, LLC

  dba Atlanta Vein Specialists

  • Ambulatory Surgical Clinic/Center
  • Suwanee, GA
  • NPI 1104076009
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1447463609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PKWY",
            "address_2": "BLD E",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241230",
            "telephone_number": "678-615-3511",
            "fax_number": "678-395-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PKWY",
            "address_2": "BLD E",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241230",
            "telephone_number": "678-615-3511",
            "fax_number": "678-395-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVAN",
        "first_name": "CHALAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "59827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Matthew Maclean, RPH
• Maddineni Holdings LLC (Health Star Family Medicine)
• John Scott Maddox, LPC
• Pamela Jane Madsen, MS
• Lorien Magnus
• Ali Mahony
• Natalie Mai, RPH
• Annu Maini, RPH
• Naghmeh Majdi, DMD
• Shukri George Makhlouf, M.D.

• Surgery Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.

Verify at the official NPI Registry.