Individual provider Active NPI

Sreekanth Chandrupatla, M.D.

  • Gastroenterology Physician
  • Crystal River, FL
National Provider Identifier
1881623767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME87546 Issued in FL
Practice address
6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Phone
(352) 563-2450
Fax
(352) 563-2512
NPI assigned
Jul 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME87546 FL Primary

Addresses

Primary practice location

6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622

Mailing address

6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Phone (352) 563-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040421000319 FL Practitioner - Gastroenterology 0345236964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6410 W Gulf to Lake Hwy
Gastroenterology Associates
Crystal River, FL 34429-7622
Phone (352) 563-2450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy215
Upper gastrointestinal (GI) endoscopy for acid reflux336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87546FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Bikkasani, Ram & Hellstern, MD P.a. Current Accepting new patients

Locations

6410 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-2450

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3621 E Forest Dr
Inverness, FL 34453
Phone (352) 563-2450

3653 E Forest Dr
Inverness, FL 34453
Phone (352) 344-3330

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: schandrupatla296860@direct.tgh.org

Organizations & group practices 3

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 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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881623767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297622",
            "telephone_number": "352-563-2450",
            "fax_number": "352-563-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297622",
            "telephone_number": "352-563-2450",
            "fax_number": "352-563-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRUPATLA",
        "first_name": "SREEKANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME87546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.