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SRINIVASACHARI TATADESIKA CHAKRAVARTHI MD NPI 1174590962


NPI Information

NPI: 1174590962
Provider Name: SRINIVASACHARI TATADESIKA CHAKRAVARTHI, MD
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2222 CHERRY ST
SUITE M200
TOLEDO, OH
ZIP 43608
Phone: (419) 251-8019
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Srinivasachari Tatadesika Chakravarthi, MD is a neurological surgery in Toledo, OH with 52 years of experience. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. Srinivasachari Tatadesika Chakravarthi, MD NPI is 1174590962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2222 CHERRY ST
SUITE M200
TOLEDO, OH
ZIP 43608-673
Phone: (419) 251-8019
Fax: (419) 251-5819

The NPI 1174590962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 9/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery4301084746MICHIGANNo
2207T00000XNeurological Surgery35085008OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013097OTHERMICHIGANHEALTH ADVANTAGE NETWORK
27344665OTHERMICHIGANAETNA
3I23986MEDICARE UPINMICHIGAN
44753637MEDICAIDMICHIGAN
50999980OTHERMICHIGANHEALTH PLUS
60999980OTHERMICHIGANBAY HEALTH PLAN
7700Z946010OTHERMICHIGANBLUE CARE NETWORK
8700Z946010OTHERMICHIGANCOMMUNITY BLUE PPO
90132377MEDICAIDOHIO
104753593MEDICAIDMICHIGAN
11700Z946010OTHERMICHIGANBLUE CHOICE
124685161MEDICAIDMICHIGAN
131013097OTHERMICHIGANMCLAREN HEALTH PLAN
141400910402OTHERMICHIGANBCBSM
15700Z946010OTHERMICHIGANBCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.