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DR. PRATHIMA CHALOORI MD
NPI 1760444137
Family Medicine in Andover, MA

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
140 HAVERHILL ST, ANDOVER, MA 01810(978) 269-0030(978) 269-0020 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prathima Chaloori Md NPPES

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

DR. PRATHIMA CHALOORI MD (NPI 1760444137) is an individual family medicine provider in Andover, Massachusetts, licensed in Michigan (4301079051) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1760444137
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRATHIMA CHALOORICredential: MD
Location Address140 HAVERHILL STAndover, MA 01810-1550
Mailing Address140 Haverhill StAndover, MA 01810-1550 · (978) 269-0030 · Fax (978) 269-0020
Phone(978) 269-0030
Fax(978) 269-0020
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 3, 2006
Last NPPES UpdateJanuary 15, 2013
✔ NPI 1760444137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301079051
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
140 HAVERHILL ST, Andover, MA 01810
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Other Identifiers 4

Medicare UPINI20681
Medicaid4688969MI
Medicare ID-Type UnspecifiedA36090027
Medicaid4688978MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Prathima Chaloori 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 ID5193789832
PECOS Enrollment IDI20110921000326
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 9

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 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.
226 services161 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.
205 services205 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
188 services110 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.
141 services97 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
67 services67 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
34 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01810 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
13 suppliers48 claims87 services$4.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims30 services$0.79 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers13 claims1,572 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$21.97 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.

ANDOVER SURGICAL ASSOCIATES, LLC
Surgery
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4202
EARL R GONZALES MD
Surgery
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4202
DR. STEPHEN MICHAEL ZAPPALA M.D.
Specialist
140 HAVERHILL ST, DOCTORS PARK I
ANDOVER, MA 01810
Essex County (978) 475-4499
ANDREA B POLONSKY M.D.
Obstetrics & Gynecology
140 HAVERHILL ST, C/O ANDOVER OB/GYN
ANDOVER, MA 01810
Essex County (978) 475-2731
GREGORY JASON CHRISTIE PA-C
Physician Assistant
140 HAVERHILL ST, SUITE 1
ANDOVER, MA 01810
Essex County (978) 470-0707
DR. KATHLEEN FERGUSON DEVANEY M.D.
Pediatrics
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522
CHRISTINE LOTTERHAND NP
Nurse Practitioner (Family)
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 470-1616
MS. GRACE T CLANCY PNP
Nurse Practitioner (Pediatrics)
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522

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 Prathima Chaloori's NPI number?

The NPI number for Prathima Chaloori is 1760444137. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Prathima Chaloori located?

Prathima Chaloori practices at 140 Haverhill St, Andover, MA 01810. The listed phone number is (978) 269-0030.

What is Prathima Chaloori's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prathima Chaloori enrolled in Medicare?

Yes. Prathima Chaloori 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 Prathima Chaloori accept?

Health plans from Anthem Blue Cross and Blue Shield list Prathima Chaloori 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 Prathima Chaloori affiliated with any hospitals?

According to CMS data, Prathima Chaloori is affiliated with Lawrence General Hospital, Anna Jaques Hospital, Holy Family Hospital, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Prathima Chaloori was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.