Individual provider Active NPI

Niranjan Babu Thothala Chandrasekar, MD

  • Internal Medicine Physician
  • Fishers, IN
National Provider Identifier
1881813335
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01068347A Issued in IN
Practice address
13861 Olio Rd
Fishers, IN 46037-3487
Phone
(317) 338-7136
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Internal Medicine Physician 207R00000X 01068347A IN Primary

Addresses

Primary practice location

13861 Olio Rd
Fishers, IN 46037-3487

Mailing address

13861 Olio Rd
Fishers, IN 46037-3487

Other practice location 1

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101020000539 IN Practitioner - HospitalistPractitioner - Internal Medicine 8729271903 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068347AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Jan 5, 2016 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Jan 5, 2016 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jun 6, 2024 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Aug 6, 2017 Accepting new patients
Kepler Inpatient Services Internal Medicine Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Organizations & group practices 8

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1881813335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487",
            "telephone_number": "317-338-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "47804",
            "country_code": "US",
            "telephone_number": "812-238-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOTHALA CHANDRASEKAR",
        "first_name": "NIRANJAN BABU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068347A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.