Individual provider Active NPI

Chandrasekhar Cherukupalli, MD

  • Vascular Surgery Physician
  • Evansville, IN
National Provider Identifier
1942406673
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01070273A Issued in IN
Practice address
520 Mary St Ste 520
Evansville, IN 47710-1682
Phone
(812) 424-8231
Fax
(812) 435-8794
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 01070273A IN Primary
Surgery Physician 208600000X 01070273A IN

Addresses

Primary practice location

520 Mary St Ste 520
Evansville, IN 47710-1682

Mailing address

520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231

Other practice location 1

801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231 ext. 2283

Other practice location 2

4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231

Other identifiers 4

IdentifierTypeStateIssuer
000000750011OtherINANTHEM
01070273OtherININDIANA STATE LICENSE
7100186780MedicaidKY
201047950MedicaidIN

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
I20120110000422 IN Practitioner - Vascular SurgeryPractitioner - General Surgery 6103915939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Surgical Associates IncGroup PAC ID 1557346723, 45 clinicians

Practice addresses (Care Compare)

520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Merit-based Incentive Payment System (MIPS)

Final score
37.54 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
65.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)34
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070273AINMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Surgical Associates Inc Surgery CurrentSince Jan 3, 2012 Accepting new patients
University Physicians of Brooklyn, Inc. Surgery Past Accepting new patients

Locations

520 Mary St
Evansville, IN 47710
Phone (812) 250-0100

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

520 Mary St
Ste 520
Evansville, IN 47710
Phone 8124248231267

1125 Professional Blvd
Evansville, IN 47714
Phone (812) 471-4110

801 Saint Marys Dr
Ste 200E
Evansville, IN 47714
Phone 8124248231 ext. 2283

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

721 W 13th St
Ste 220
Jasper, IN 47546
Phone (812) 482-4494

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4133 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 250-0200

4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701

100 St Marys Epworth Xing
Ste A400
Newburgh, IN 47630

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

Interoperability endpoints

  • Direct secure messaging: chandrasekhar.cherukupalli@evansvillesurgical.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249

Organizations & group practices 2

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 7

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1942406673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARY ST",
            "address_2": "SUITE 520",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101682",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 520",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101682",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Saint Marys Dr Ste 200E",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140518",
            "country_code": "US",
            "telephone_number": "812-424-8231 x2283",
            "fax_number": "812-435-8794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4133 Gateway Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307918",
            "country_code": "US",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKUPALLI",
        "first_name": "CHANDRASEKHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01070273A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01070273A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000750011",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE LICENSE",
            "identifier": "01070273",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100186780",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201047950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.