LATHA SREE POLAVARAM MD
NPI 1194934802
Internal Medicine - Hematology & Oncology in Grand Rapids, MI

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
94.17/100
CMS Quality Rating
145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503(616) 954-9800(616) 954-2116 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2020, Apr 23, 2018 (2 updates tracked since 2018).

About Latha Sree Polavaram Md NPPES

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

LATHA SREE POLAVARAM MD (NPI 1194934802) is an individual hematology & oncology provider in Grand Rapids, Michigan, licensed in Michigan (4301083922) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194934802
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameLATHA SREE POLAVARAMCredential: MD
Location Address145 MICHIGAN ST NE STE 3100Grand Rapids, MI 49503-2563
Mailing Address5800 Foremost Dr Se Ste 300Grand Rapids, MI 49546-7062 · (616) 954-9800
Fax(616) 954-2116
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
NPI 1194934802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MI · 4301083922
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
145 MICHIGAN ST NE STE 3100, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Latha Sree Polavaram 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 ID840359287
PECOS Enrollment IDI20120803000802
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.

Areas of Expertise CMS Part B claims 28

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.

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
The Gammagard Liquid injection is a type of immune globulin therapy. It's used to boost your body's immune system, helping it fight off infections. The therapy involves injecting a liquid form of proteins, collected from healthy donors, into your body. This is a 500mg dose.
990 services11 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
976 services183 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
951 services179 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
727 services172 patients
Gammaglobulin (immune system protein) measurement 82784
Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
553 services61 patients
Lactate dehydrogenase (enzyme) level 83615
A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
396 services157 patients

Hospital Affiliations CMS Care Compare 4

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

94.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.41
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
66%877 patients3/55-star benchmark: 100%
Breast Cancer Screening
1%347 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
97%177 patients5/55-star benchmark: 87%
Colorectal Cancer Screening
7%789 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
92%3,566 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
99%708 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
97%283 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
92%1,024 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 765 patients
Patients screened: 99% · 765 patients
67%64 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%476 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Nurse Practitioner
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Physician Assistant
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503

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 Latha Sree Polavaram's NPI number?

The NPI number for Latha Sree Polavaram is 1194934802. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Latha Sree Polavaram located?

Latha Sree Polavaram practices at 145 Michigan St NE Ste 3100, Grand Rapids, MI 49503. The listed phone number is (616) 954-9800.

What is Latha Sree Polavaram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Latha Sree Polavaram enrolled in Medicare?

Yes. Latha Sree Polavaram 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.

What insurance does Latha Sree Polavaram accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Latha Sree Polavaram 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 Latha Sree Polavaram affiliated with any hospitals?

According to CMS data, Latha Sree Polavaram is affiliated with Spectrum Health United Hospital, Spectrum Health, Mercy Health Saint Mary's and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Latha Sree Polavaram was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.