Chandramouli Madala, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

CM057455 Issued in MI

Practice address

363 Fremont St
Suite 311
Battle Creek, MI 49017-3389

Phone

(269) 969-6088

Fax

(269) 969-6044

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
• Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Ascension Medical Group Promed

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Ascension Borgess Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Medicare reassignment NPD
• Ascension Borgess Hospital

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
  • NPI 1306976204
  NPD
• Ascension Borgess Hospital

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  NPD
• Ascension Medical Group Promed

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1720009954

  Cardiovascular Disease

  NPD
• Promed Healthcare

  • Rural Health Clinic/Center
  • Plainwell, MI
  • NPI 1487708830
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Borgess Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Bronson Battle Creek Hospital

  • General Acute Care Hospital
  • Battle Creek, MI
  • NPI 1083644579
  Care Compare affiliation
• Ella E. M. Brown Charitable Circle

  • General Acute Care Hospital
  • Marshall, MI
  • NPI 1861475360
  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1487629283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 311",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6088",
            "fax_number": "269-969-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 311",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6088",
            "fax_number": "269-969-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADALA",
        "first_name": "CHANDRAMOULI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "CM057455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE NUMBER",
            "identifier": "CM057455",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103064422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Sachem Macklin
• Eric W Macleod, PH.D., L.P.
• Matthew N. Macneil, CRNA
• Gracie Jo Macphee
• James Edwin Macvicar, M.D.
• Devan Madden
• Gabby Maddix
• Brian James Maduri, DDS
• Staci Marie Maguire, PA-C
• Thomas Maier, MD

• Cardiovascular Disease Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.