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PRADEEP CHAGANTI M.D.
NPI 1255680575
Internal Medicine - Nephrology in Dalton, GA

Active since August 31, 2012PECOS Enrolled
85.99/100
CMS Quality Rating
1506 BROADRICK DR, DALTON, GA 30720(706) 278-3431 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 23, 2019, Nov 13, 2017 (2 updates tracked since 2017).

About Pradeep Chaganti M.d. NPPES

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

PRADEEP CHAGANTI M.D. (NPI 1255680575) is an individual nephrology provider in Dalton, Georgia, licensed in Georgia (82489) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1255680575
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePRADEEP CHAGANTICredential: M.D.
Location Address1506 BROADRICK DRDalton, GA 30720-3011
Mailing Address1506 Broadrick Dr, Unit 1Dalton, GA 30720-1715 · (706) 278-3431
Phone(706) 278-3431
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 31, 2012
Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration
✔ NPI 1255680575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 82489
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1506 BROADRICK DR, Dalton, GA 30720
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pradeep Chaganti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254601990
PECOS Enrollment IDI20190722001931
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 8

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.

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.
449 services196 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
135 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
112 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Improvement Activities40
Cost80.63

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers47 claims47 services$14.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers48 claims48 services$66.88 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 9

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

DAVID TAYLOR DENNARD M.D.
Internal Medicine (Nephrology)
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430
RAFAEL O DUCHESNE M.D.
Internal Medicine (Nephrology)
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430
MS. JANA SUSAN PRITCHETT AGACNP
Nurse Practitioner
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430
DCA OF DALTON, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1506 BROADRICK DR, SUITE 1
DALTON, GA 30720
Whitfield County (706) 275-9300
JOYCE ANNE MILLER RNC
Nurse Practitioner (Adult Health)
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430
NEPHROLOGY & HYPERTENSION SPECIALISTS PC
Internal Medicine (Nephrology)
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430
DR. KEELAN THOMAS TUEL M.D.
Internal Medicine (Nephrology)
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430
FRANK DAVID NEWBY M.D., PH. D
Internal Medicine (Nephrology)
1506 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-3430

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 Pradeep Chaganti's NPI number?

The NPI number for Pradeep Chaganti is 1255680575. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Where is Pradeep Chaganti located?

Pradeep Chaganti practices at 1506 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 278-3431.

What is Pradeep Chaganti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pradeep Chaganti enrolled in Medicare?

Yes. Pradeep Chaganti is registered in the Medicare PECOS enrollment system.

What insurance does Pradeep Chaganti accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Pradeep Chaganti 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 Pradeep Chaganti affiliated with any hospitals?

According to CMS data, Pradeep Chaganti is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Pradeep Chaganti was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.