Surya Teja Chennupati, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101029583 Issued in MI

Practice address

1322 E Michigan Ave Ste 202B
Lansing, MI 48912-2109

Phone

(517) 364-5184

NPI assigned

May 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: schennupati73031@sparrowdirecthie.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1992371116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE STE 202B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE STE 202B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122109",
            "telephone_number": "517-364-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNUPATI",
        "first_name": "SURYA",
        "middle_name": "TEJA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101029583",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5101029583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aladreana Cheeks
• Jazz A'Jura Cheeks
• Amy L Cheetham, OT
• Michelle Chen
• Roger Dean Cheney, DDS
• Melvin Cherry, MD
• Alyssa Chestnut
• Chiaravalli & Maxson DDS, PLLC
• Peter Carmen Chiaravalli, DDS
• Chic Home Care L.L.C.

• Internal Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.