SHARANYA GOLAGABATHULA
NPI 1326536202
Internal Medicine in Saint Joseph, MI

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
90.52/100
CMS Quality Rating
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085(269) 983-0500 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2024, Jun 29, 2021, Apr 26, 2018 (3 updates tracked since 2018).

About Sharanya Golagabathula NPPES

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

SHARANYA GOLAGABATHULA (NPI 1326536202) is an individual internal medicine provider in Saint Joseph, Michigan, licensed in Michigan (4301503654) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1326536202
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHARANYA GOLAGABATHULA
Location Address3950 HOLLYWOOD RD STE 270Saint Joseph, MI 49085-9158
Mailing Address3950 Hollywood Rd Ste 270Saint Joseph, MI 49085-9158
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 26, 2018
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1326536202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301503654
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3950 HOLLYWOOD RD STE 270, Saint Joseph, MI 49085

Secondary Practice Location 1

Location 16071 West Outer Drive, Sinai Grace Hospital Internal MeDetroit, MI 48235 · Phone (313) 966-1003 · Fax (313) 966-1738

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

Sharanya Golagabathula 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 ID6406105113
PECOS Enrollment IDI20210728002533
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 Reassignments

2

Medicare enrollment records show Sharanya Golagabathula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1234 NAPIER AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
Family Medicine
4190 24TH AVE, SUITE 206
Fort Gratiot, MI 48059
  • Reassigned Medicare billing, Michigan enrollment
  • 24 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 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.

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.
130 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services63 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
33 services21 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
28 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

90.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.15

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Internal Medicine
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Nurse Practitioner
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Physician Assistant
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Nurse Practitioner (Primary Care)
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Internal Medicine
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Internal Medicine
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085
Internal Medicine
3950 HOLLYWOOD RD STE 270
SAINT JOSEPH, MI 49085

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 Sharanya Golagabathula's NPI number?

The NPI number for Sharanya Golagabathula is 1326536202. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Sharanya Golagabathula located?

Sharanya Golagabathula practices at 3950 Hollywood Rd Ste 270, Saint Joseph, MI 49085. The listed phone number is (269) 983-0500.

What is Sharanya Golagabathula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sharanya Golagabathula enrolled in Medicare?

Yes. Sharanya Golagabathula 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 organizations bill Medicare for Sharanya Golagabathula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharanya Golagabathula reassigns Medicare benefits to 2 organizations: Lakeland Medical Practices (Saint Joseph, MI) and Port Huron Physicians Medical Group PC (Fort Gratiot, MI). Each 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 Sharanya Golagabathula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharanya Golagabathula 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 1 other insurer list Sharanya Golagabathula 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 Sharanya Golagabathula affiliated with any hospitals?

According to CMS data, Sharanya Golagabathula is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Sharanya Golagabathula was last updated on June 27, 2024. 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.