KRISHNA CHALASANI M.D.
NPI 1427314202
Internal Medicine - Endocrinology, Diabetes & Metabolism in Neptune, NJ

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753(732) 897-3980(732) 897-3982 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2018, Sep 26, 2018, Aug 28, 2018 (3 updates tracked since 2018).

About Krishna Chalasani M.d. NPPES

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

KRISHNA CHALASANI M.D. (NPI 1427314202) is an individual endocrinology, diabetes & metabolism provider in Neptune, New Jersey, licensed in New Jersey (25MA10078800) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427314202
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKRISHNA CHALASANICredential: M.D.
Location Address19 DAVIS AVE FL 6Neptune, NJ 07753-4488
Mailing Address19 Davis Ave Fl 6Neptune, NJ 07753-4488 · (732) 897-3980 · Fax (732) 897-3982
Fax(732) 897-3982
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 6, 2012
Last NPPES UpdateDecember 4, 20183 updates tracked since enumeration
NPI 1427314202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NJ · 25MA10078800
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
19 DAVIS AVE FL 6, Neptune, NJ 07753

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

Krishna Chalasani M.d. 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 ID1456653864
PECOS Enrollment IDI20170914000354
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 13

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.
537 services179 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.
285 services183 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.
170 services163 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
86 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services41 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.
43 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers75 claims340 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers19 claims30 services$0.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers166 claims169 services$181.84 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 20

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

Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Gastroenterology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Rheumatology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Family Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753

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 Krishna Chalasani's NPI number?

The NPI number for Krishna Chalasani is 1427314202. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Krishna Chalasani located?

Krishna Chalasani practices at 19 Davis Ave Fl 6, Neptune, NJ 07753. The listed phone number is (732) 897-3980.

What is Krishna Chalasani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Krishna Chalasani enrolled in Medicare?

Yes. Krishna 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.

Is Krishna Chalasani affiliated with any hospitals?

According to CMS data, Krishna Chalasani is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Krishna Chalasani was last updated on December 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.