NPIMap

Individual provider Active NPI

Kameswara R. Tatineni, M.D.

  • Psychiatry Physician
  • Battle Creek, MI
National Provider Identifier
1700977154
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301040809 Issued in MI
Practice address
126 College St
Battle Creek, MI 49037-3461
Phone
(268) 968-4140
Fax
(269) 968-3113
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301040809 MI Primary

Addresses

Primary practice location

126 College St
Battle Creek, MI 49037-3461

Mailing address

126 College St
Battle Creek, MI 49037-3461
Phone (268) 968-4140

Other identifiers 1

IdentifierTypeStateIssuer
2111671MedicaidMI

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
I20070315000186 MI Practitioner - PsychiatryPractitioner - General SurgeryPractitioner - Geriatric Psychiatry 4688777444 Reassigns benefits to 4 organizations
Practice locations: Battle Creek, MI

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

126 College St
Battle Creek, MI 49037-3461
Phone (269) 968-4140

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

274 E Chicago St
Coldwater, MI 49036-2041

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301040809MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Current Accepting new patients
Branch County Community Mental Health Authority CurrentSince Nov 2, 2018 Accepting new patients
Community Health Center of Branch County CurrentSince Jun 30, 2017 Accepting new patients
Community Health Center of Branch County CurrentSince Jun 30, 2017 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Van Buren Community Mental Health Authority Psychiatry CurrentSince Apr 18, 2017 Accepting new patients
Ella E M Brown Charitable Circle Psychiatry CurrentSince Jun 1, 2017 Accepting new patients
MRC Industries Incorporated PastSince Oct 7, 2013 Accepting new patients

Locations

200 Vista Dr
Coldwater, MI 49036
Phone (517) 278-2129

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

801 Hazen St
Ste C
Paw Paw, MI 49079
Phone (269) 657-5574

1007 Wells St
South Haven, MI 49090
Phone (269) 637-5297

Organizations & group practices 9

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 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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1700977154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373461",
            "telephone_number": "268-968-4140",
            "fax_number": "269-968-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373461",
            "telephone_number": "268-968-4140",
            "fax_number": "269-968-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "KAMESWARA",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301040809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111671",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.