Individual provider Active NPI

Chandan Das, M.D.

  • Surgery Physician
  • Adrian, MI
National Provider Identifier
1699113449
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301502965 Issued in MI
Practice address
5640 N Adrian Hwy # C
Adrian, MI 49221-8318
Phone
(517) 577-0283
Fax
(517) 577-0536
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.130421 OH
Surgery Physician 208600000X 4301502965 MI Primary

Addresses

Primary practice location

5640 N Adrian Hwy # C
Adrian, MI 49221-8318

Mailing address

100 Madison Ave # S38805
Toledo, OH 43604-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170926003558 OH Practitioner - General SurgeryPractitioner - General Practice 9335443019 Reassigns benefits to 2 organizations
I20201008000718 MI Practitioner - General Surgery 9335443019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

777 Kimole LN
Suite 250
Adrian, MI 49221-1400
Phone (888) 593-5815

Hospital & facility affiliations

  • Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301502965MIMDSurgery Physician
35.130421OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Surgery CurrentSince May 3, 2024 Accepting new patients
Promedica Central Physicians Surgery CurrentSince Sep 1, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2020 Accepting new patients
Christ Hospital Medical Specialists LLC Surgery CurrentSince Jun 1, 2021 Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

5640 N Adrian Hwy
Ste C
Adrian, MI 49221

5640 N Adrian Hwy
#C
Adrian, MI 49221
Phone (517) 577-0000

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

1250 Ralston Ave
Ste 204
Defiance, OH 43512
Phone (419) 782-8332

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

5700 Monroe St
Unit 106
Sylvania, OH 43560
Phone (419) 885-2525

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

100 Madison Ave
#S38805
Toledo, OH 43604

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Interoperability endpoints

  • Direct secure messaging: cdas23075@direct.promedica.org

Organizations & group practices 4

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 2

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1699113449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE # S38805",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY # C",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-577-0283",
            "fax_number": "517-577-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "CHANDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.130421",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301502965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.