Active NPI
Ramesh Chadalavada, MD
- Pulmonary Disease Physician
- Springfield, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3870781 | Medicaid | TN | |
| 4027347 | Other | TN | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100510000557 | TN | Practitioner - Internal Medicine | 6901822188 |
Reassigns benefits to 2 organizations Receives reassigned benefits from 2 practitioners Practice locations: Springfield, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127008 | TN | MD | Internal Medicine Physician |
| 146083 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Virtuox, LLC | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Tristar Family Care, LLC | Internal Medicine | Past | 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
- 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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, TN
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Internal Medicine, TN
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Physiological Laboratory
- Coral Springs, FL
- NPI 1518906940
-
- Internal Medicine Physician
- Ashland City, TN
- NPI 1609326040
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.