NPIMap

Individual provider Active NPI

Jagadeesh Kumar Kalavakunta, M.D.,

  • Interventional Cardiology Physician
  • Coldwater, MI
National Provider Identifier
1457510505
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301091982 Issued in MI
Practice address
360 E Chicago St
Coldwater, MI 49036-2074
Phone
(269) 226-5050
NPI assigned
Jun 4, 2008
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301091982 MI
Cardiovascular Disease Physician 207RC0000X 4301091982 MI
Interventional Cardiology Physician 207RI0011X 4301091982 MI Primary

Addresses

Primary practice location

360 E Chicago St
Coldwater, MI 49036-2074

Mailing address

5943 Stadium Dr
Kalamazoo, MI 49009-3016
Phone (269) 552-2836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001316 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5294049367 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

360 E Chicago St
Coldwater, MI 49036-2074
Phone (269) 226-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091982MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac Inc CurrentSince Nov 1, 2023 Accepting new patients
Beacon Dowagiac Inc CurrentSince Oct 2, 2023 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Jun 5, 2016 Accepting new patients
Beacon Dowagiac Inc CurrentSince Oct 2, 2023 Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2015 Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jun 5, 2016 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Hillsdale Community Health Center CurrentSince May 15, 2019 Accepting new patients
Beacon Kalamazoo Inc Past Accepting new patients

Locations

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

360 E Chicago St
Ste H
Coldwater, MI 49036
Phone (517) 279-2885

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

215 E Mansion St
Ste 3B
Marshall, MI 49068
Phone (269) 343-1264

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1457510505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016",
            "telephone_number": "269-552-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362074",
            "telephone_number": "269-226-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAVAKUNTA",
        "first_name": "JAGADEESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091982",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301091982",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301091982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.