Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRATHYUSHA CHALASANI MD
NPI 1235707647
Hospitalist in Morganton, NC

Active since June 12, 2021PECOS Enrolled
2201 S STERLING ST, MORGANTON, NC 28655(828) 580-5000 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2025, Jun 12, 2021 (2 updates tracked since 2021).

About Prathyusha Chalasani Md NPPES

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

PRATHYUSHA CHALASANI MD (NPI 1235707647) is an individual hospitalist provider in Morganton, North Carolina, licensed in North Carolina (2025-02255) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235707647
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePRATHYUSHA CHALASANICredential: MD
Location Address2201 S STERLING STMorganton, NC 28655-4044
Mailing Address2201 S Sterling StMorganton, NC 28655-4044 · (828) 580-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 12, 2021
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1235707647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2025-02255
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2201 S STERLING ST, Morganton, NC 28655

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

Prathyusha Chalasani 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 ID8426555848
PECOS Enrollment IDI20251009004222
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 Prathyusha Chalasani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
2201 S STERLING ST
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 322 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.

Hospital Affiliations CMS Care Compare

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

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Physician Assistant
2201 S STERLING ST
MORGANTON, NC 28655
Dietitian, Registered
2201 S STERLING ST
MORGANTON, NC 28655
Internal Medicine
2201 S STERLING ST
MORGANTON, NC 28655
Hospitalist
2201 S STERLING ST
MORGANTON, NC 28655
Student in an Organized Health Care Education/Training Program
2201 S STERLING ST
MORGANTON, NC 28655
Registered Nurse
2201 S STERLING ST
MORGANTON, NC 28655
Internal Medicine
2201 S STERLING ST
MORGANTON, NC 28655
Specialist/Technologist (Athletic Trainer)
2201 S STERLING ST
MORGANTON, NC 28655

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 Prathyusha Chalasani's NPI number?

The NPI number for Prathyusha Chalasani is 1235707647. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Where is Prathyusha Chalasani located?

Prathyusha Chalasani practices at 2201 S Sterling St, Morganton, NC 28655. The listed phone number is (828) 580-5000.

What is Prathyusha Chalasani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prathyusha Chalasani enrolled in Medicare?

Yes. Prathyusha Chalasani 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 Prathyusha Chalasani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathyusha Chalasani reassigns Medicare benefits to Blue Ridge Healthcare Medical Group, Inc. (Morganton, NC). 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 Prathyusha Chalasani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prathyusha Chalasani accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Prathyusha Chalasani 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 Prathyusha Chalasani affiliated with any hospitals?

According to CMS data, Prathyusha Chalasani is affiliated with Blue Ridge Healthcare Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Prathyusha Chalasani was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.