DR. CHINTAMANENI P CHOUDARI M.D.
NPI 1538148283
Internal Medicine - Gastroenterology in Hagerstown, MD

Q: What is Chintamaneni Choudari's NPI number?

The NPI number for Chintamaneni Choudari is 1538148283. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Chintamaneni Choudari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment

12.81/100

CMS Quality Rating

11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742(240) 513-7072(240) 513-6241 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Dec 9, 2019, Dec 3, 2019 (3 updates tracked since 2019).

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About Dr. Chintamaneni P Choudari M.d. NPPES

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

DR. CHINTAMANENI P CHOUDARI M.D. (NPI 1538148283) is an individual gastroenterology provider in Hagerstown, Maryland, licensed in Maryland (D0066559) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1538148283

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CHINTAMANENI P CHOUDARICredential: M.D.

Location Address11110 MEDICAL CAMPUS RD STE 242Hagerstown, MD 21742-6728

Mailing Address11110 Medical Campus Rd Ste 242Hagerstown, MD 21742-6728 · (240) 513-7072 · Fax (240) 513-6241

Phone(240) 513-7072

Fax(240) 513-6241

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateJanuary 11, 2006

Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1538148283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MD · D0066559✔ Licensed in OH · 35076586✔ Licensed in IN · 01047211A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

11110 MEDICAL CAMPUS RD STE 242, Hagerstown, MD 21742

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Other Identifiers 9

Other1673071Aetna - Hmo

Other611061-04MD · Carefirst

Other874550MD · Medicare

Other290280Jhhc

Other4319500Aetna Hmo

Other9366546MD · Cigna

OtherP00460055MD · Railroad Medicare

Other6213953Aetna

OtherE6310004MD · Carefirst Blue Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Chintamaneni P Choudari 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 ID8426130378

PECOS Enrollment IDI20080130000652, I20150615001734

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 14

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.

741 services226 patients

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.

478 services412 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

379 services379 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

312 services309 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.

243 services224 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

233 services228 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.

224 services186 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

178 services178 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.

92 services54 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

39 services31 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

24 services24 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services17 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

15 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210001

Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County

Emergency services Birthing friendly

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210008

Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

12.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

42.71

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

98%47 patients5/55-star benchmark: 95%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

78%925 patients4/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%2,726 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%3,790 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

48%60 patients3/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%778 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

35%1,741 patients2/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

84%1,608 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

70%1,741 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

15%1,741 patients2/55-star benchmark: 59%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 521 patients

0%521 patients5/55-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 4

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

DR. VAMSHIDHAR REDDY VOOTLA M.D.

Internal Medicine (Gastroenterology)

11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742

Washington County (240) 513-7072

MEDICAL PRACTICES OF ANTIETAM, LLC

Clinic/Center (Ambulatory Surgical)

11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742

Washington County (240) 513-7072

MEDICAL PRACTICES OF ANTIETAM LLC

Internal Medicine (Gastroenterology)

11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742

Washington County (240) 513-7072

HAGERSTOWN GASTROENTEROLOGY CP CHOUDARI PA

Internal Medicine (Gastroenterology)

11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742

Washington County (240) 422-6210

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 Chintamaneni Choudari's NPI number?

The NPI number for Chintamaneni Choudari is 1538148283. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Chintamaneni Choudari located?

Chintamaneni Choudari practices at 11110 Medical Campus Rd Ste 242, Hagerstown, MD 21742. The listed phone number is (240) 513-7072.

What is Chintamaneni Choudari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Chintamaneni Choudari enrolled in Medicare?

Yes. Chintamaneni Choudari 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 Chintamaneni Choudari accept?

Health plans from CareSource list Chintamaneni Choudari 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 Chintamaneni Choudari affiliated with any hospitals?

According to CMS data, Chintamaneni Choudari is affiliated with Meritus Medical Center and Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Chintamaneni Choudari was last updated on October 4, 2023. 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.