Individual provider Active NPI

Ramesh Chadalavada, MD

  • Pulmonary Disease Physician
  • Springfield, TN
National Provider Identifier
1487723342
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35644 Issued in TN
Practice address
221 Northcrest Dr
Springfield, TN 37172-3962
Phone
(615) 384-2149
Fax
(615) 384-9384
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35644 TN Primary
Internal Medicine Physician 207R00000X 127008 TN
Pulmonary Disease Physician 207RP1001X 146083 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35644 TN

Addresses

Primary practice location

221 Northcrest Dr
Springfield, TN 37172-3962

Mailing address

221 Northcrest Dr
Springfield, TN 37172-3962
Phone (615) 384-2149

Other identifiers 2

IdentifierTypeStateIssuer
3870781MedicaidTN
4027347OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20100510000557 TN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6901822188 Reassigns benefits to 2 organizations
Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 Northcrest Dr
Springfield, TN 37172-3962

North Crest Dr
Suite 221
Springfield, TN 37172

North Crest Dr
Suite 221
Springfield, TN 37172-3962
Phone (615) 384-2149

Hospital & facility affiliations

  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127008TNMDInternal Medicine Physician
146083TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 8, 2015 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Virtuox, LLC CurrentSince Nov 1, 2019 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Tristar Family Care, LLC Internal Medicine PastSince Aug 1, 2021 Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: nmcrchadal@yourcarecommunity.org

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1487723342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723962",
            "telephone_number": "615-384-2149",
            "fax_number": "615-384-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723962",
            "telephone_number": "615-384-2149",
            "fax_number": "615-384-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADALAVADA",
        "first_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "35644",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "127008",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "146083",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "35644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870781",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4027347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.