DR. MAHESH C KARAMCHANDANI MD
NPI 1053393702
Colon & Rectal Surgery in Battle Creek, MI

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
3770 CAPITAL AVE SW, SUITE A, BATTLE CREEK, MI 49015(269) 441-1771(269) 441-1773 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mahesh C Karamchandani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAHESH C KARAMCHANDANI MD (NPI 1053393702) is an individual colon & rectal surgery provider in Battle Creek, Michigan, licensed in Michigan (MD050945) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1053393702
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. MAHESH C KARAMCHANDANICredential: MD
Location Address3770 CAPITAL AVE SW, SUITE ABattle Creek, MI 49015-9411
Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 341-8419 · Fax (269) 341-8743
Fax(269) 441-1773
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateNovember 17, 2005
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 5, 2020
✔ NPI 1053393702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in MI · MD050945
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
3770 CAPITAL AVE SW, Battle Creek, MI 49015

Other Identifiers 12

Other107550Preferred Choices
Other14-30422Physicians Health Plan
Other4656315Aetna
OtherP56096Blue Care Network
Other280000146Railroad Medicare
Medicaid2962398MI
Medicaid1053393702MI
Other383125785103Community Choice Of Mi
Other101572Great Lakes
Other9531910Cigna
Other1417961137MI · Bcbsm - Bronson
OtherM012958Tricare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mahesh C Karamchandani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911806682
PECOS Enrollment IDI20101103000102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mahesh Karamchandani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services123 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
112 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services35 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
95 services95 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
65 services65 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
54 services54 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers21 claims500 services$4.67 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$3.89 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers20 claims1,002 services$0.22 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers23 claims750 services$0.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Colon & Rectal Surgery
3770 CAPITAL AVE SW, STE A
BATTLE CREEK, MI 49015
Clinic/Center (Ambulatory Surgical)
3770 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Colon & Rectal Surgery
3770 CAPITAL AVE SW, STE A
BATTLE CREEK, MI 49015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahesh Karamchandani's NPI number?

The NPI number for Mahesh Karamchandani is 1053393702. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Mahesh Karamchandani located?

Mahesh Karamchandani practices at 3770 Capital Ave SW Suite A, Battle Creek, MI 49015. The listed phone number is (269) 441-1771.

What is Mahesh Karamchandani's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Mahesh Karamchandani enrolled in Medicare?

Yes. Mahesh Karamchandani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mahesh Karamchandani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahesh Karamchandani reassigns Medicare benefits to Bronson Methodist Hospital (Kalamazoo, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mahesh Karamchandani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahesh Karamchandani accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mahesh Karamchandani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mahesh Karamchandani affiliated with any hospitals?

According to CMS data, Mahesh Karamchandani is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Mahesh Karamchandani was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.