DURGARANI CHADALAWADA MD
NPI 1639164437
Hospitalist in Troy, OH

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3130 N COUNTY ROAD 25A, TROY, OH 45373(937) 440-4466(937) 440-7177 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2023, Oct 19, 2020, Aug 13, 2019 and 2 more (5 updates tracked since 2019).

About Durgarani Chadalawada Md NPPES

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

DURGARANI CHADALAWADA MD (NPI 1639164437) is an individual hospitalist provider in Troy, Ohio, licensed in Ohio (35.095742) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639164437
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDURGARANI CHADALAWADACredential: MD
Location Address3130 N COUNTY ROAD 25ATroy, OH 45373-1337
Mailing Address3130 N County Road 25aTroy, OH 45373-1337 · (937) 440-4466 · Fax (937) 440-7177
Fax(937) 440-7177
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 19, 2005
Last NPPES UpdateMay 5, 20235 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1639164437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.095742
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD427516 (PA), 35.095742 (OH)
3130 N COUNTY ROAD 25A, Troy, OH 45373

Secondary Practice Locations 2

Location 130 E Apple St Ste Nw3300Dayton, OH 45409-2939 · Phone (937) 208-8394 · Fax (937) 641-2780
Location 21 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 705-4751 · Fax (937) 641-2780

Other Identifiers 8

Medicaid1014140970001PA
Other902560PA · Highmark Blue Shield
OtherP00258909PA · Palmetto Gba-railroad Medicare
Medicaid1014140970002PA
Other410893PA · Upmc Health Plan
Other251754199019PA · Medical Mutual Of Ohio
Medicaid3146698OH
OtherI44354PA · Health America

Accepted 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

Durgarani Chadalawada 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 ID3274550389
PECOS Enrollment IDI20101008000808
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 4

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.
285 services119 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.
243 services121 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.
142 services133 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.
93 services92 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$13.68 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
2 suppliers19 claims19 services$61.07 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$12.53 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.

Nurse Practitioner (Psychiatric/Mental Health)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Clinical Nurse Specialist (Adult Health)
3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373
Family Medicine
3130 N COUNTY ROAD 25A
TROY, OH 45373
Nurse Practitioner (Family)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Nurse Anesthetist, Certified Registered
3130 N COUNTY ROAD 25A
TROY, OH 45373
Social Worker
3130 N COUNTY ROAD 25A
TROY, OH 45373
Home Health
3130 N COUNTY ROAD 25A
TROY, OH 45373
Pharmacist
3130 N COUNTY ROAD 25A
TROY, OH 45373

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 Durgarani Chadalawada's NPI number?

The NPI number for Durgarani Chadalawada is 1639164437. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Durgarani Chadalawada located?

Durgarani Chadalawada practices at 3130 N County Road 25A, Troy, OH 45373. The listed phone number is (937) 440-4466.

What is Durgarani Chadalawada's specialty?

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

Is Durgarani Chadalawada enrolled in Medicare?

Yes. Durgarani Chadalawada 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 Durgarani Chadalawada accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list Durgarani Chadalawada 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 Durgarani Chadalawada affiliated with any hospitals?

According to CMS data, Durgarani Chadalawada is affiliated with Atrium Medical Center and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Durgarani Chadalawada was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.