Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAM KHATTRI CHETTRI FNP-C, MS, MATS, RN
NPI 1679808919
Nurse Practitioner - Family in South Bend, IN

Q: What is Ram Khattri Chettri's NPI number?

The NPI number for Ram Khattri Chettri is 1679808919. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Q: What is Ram Khattri Chettri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 05, 2009PECOS Enrolled

610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601(574) 647-8120(574) 647-8111 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Sep 22, 2026, Jan 13, 2021 (3 updates tracked since 2021).

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About Ram Khattri Chettri Fnp-c, Ms, Mats, Rn NPPES

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

RAM KHATTRI CHETTRI FNP-C, MS, MATS, RN (NPI 1679808919) is an individual family provider in South Bend, Indiana, licensed in Indiana (71003089A) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1679808919

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRAM KHATTRI CHETTRICredential: FNP-C, MS, MATS, RN

Location Address610 N MICHIGAN ST STE 400South Bend, IN 46601-1081

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-8120

Fax(574) 647-8111

Sole ProprietorNo

Enumeration DateOctober 5, 2009

Last NPPES UpdateOctober 16, 20263 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1679808919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71003089A

610 N MICHIGAN ST STE 400, South Bend, IN 46601

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Secondary Practice Locations 5

Location 13220 Beacon Pkwy Ste 200Granger, IN 46530-7196 · Phone (574) 647-8788 · Fax (574) 647-3321

Location 21855 S Main Street, Suite A, Heart & Vascular CenterGoshen, IN 46526-4723 · Phone (574) 533-7476 · Fax (574) 538-5147

Location 3303 S Nappanee St Ste AElkhart, IN 46514-2066 · Phone (574) 296-3466 · Fax (574) 296-3330

Location 4500 Arcade Ave Ste 400Elkhart, IN 46514-2487 · Phone (574) 522-2284 · Fax (574) 522-3952

Location 52222 Rieth Blvd Ste 104Goshen, IN 46526-5869 · Phone (574) 875-1082 · Fax (574) 875-3860

Other Identifiers 1

Medicaid300134507IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ram Khattri Chettri Fnp-c, Ms, Mats, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ram Khattri Chettri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Health System, Inc.

0.1 mi

Cardiovascular Disease

621 MEMORIAL DR, SUITE 608
South Bend, IN 46601

Reassigned Medicare billing, Indiana enrollment
Medicare enrollment name: Beacon Medical Group Inc
734 clinicians in this Medicare group

NPI 1073554994 (574) 232-3522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

MAYANK KUMAR MITTAL MD

Internal Medicine (Interventional Cardiology)