Individual provider Active NPI

Kaushik Chagarlamudi

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1851895916
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.147571 Issued in OH
Practice address
9500 Euclid Ave # JJ24
Cleveland, OH 44195
Phone
(216) 444-2200
NPI assigned
Mar 22, 2018
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 35.147571 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # JJ24
Cleveland, OH 44195

Mailing address

9500 Euclid Ave # JJ24
Cleveland, OH 44195-0001

Other practice location 1

55 Arch St Ste 1B
Akron, OH 44304
Phone (330) 375-3315

Other practice location 2

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240726002962 IL Practitioner - Diagnostic Radiology 2264789106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Radiologists, S.C.Group PAC ID 0648248328, 22 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Radiologists, S.C. Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

630 E North Ave
Carol Stream, IL 60188
Phone (630) 458-5300

1446 Momentum Pl
Chicago, IL 60689

6084 S Archer Ave
Ste 102
Chicago, IL 60638
Phone (773) 767-2461

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

1 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 286-5500

908 N Elm St
Hinsdale, IL 60521
Phone (630) 325-3310

908 N Elm St
Ste 306
Hinsdale, IL 60521
Phone (630) 323-5214

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

6311 S Cass Ave
Westmont, IL 60559
Phone (630) 323-5214

545 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 269-2886

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1851895916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # JJ24",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # JJ24",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Arch St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44304",
            "country_code": "US",
            "telephone_number": "330-375-3315",
            "fax_number": "330-375-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-375-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAGARLAMUDI",
        "first_name": "KAUSHIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2023-06-09",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.147571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.