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SHILPA KAVUTURU M.D.
NPI 1831365170
Internal Medicine in East Lansing, MI

Active since May 06, 2008PECOS EnrolledAccepts Medicare Assignment
804 SERVICE RD, ROOM A225, EAST LANSING, MI 48824(517) 353-4941(517) 432-3145 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 27, 2018, Jun 14, 2016 (2 updates tracked since 2016).

About Shilpa Kavuturu M.d. NPPES

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

SHILPA KAVUTURU M.D. (NPI 1831365170) is an individual internal medicine provider in East Lansing, Michigan, licensed in Michigan (4301102286) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1831365170
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHILPA KAVUTURUCredential: M.D.
Location Address804 SERVICE RD, ROOM A225East Lansing, MI 48824-7021
Mailing Address804 Service Rd, Room A201East Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Phone(517) 353-4941
Fax(517) 432-3145
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 6, 2008
Last NPPES UpdateFebruary 27, 20182 updates tracked since enumeration
✔ NPI 1831365170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 4301102286✔ Licensed in NY · 003662
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
804 SERVICE RD, East Lansing, MI 48824
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Other Identifiers 1

Medicaid1831365170MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Shilpa Kavuturu 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 ID6002002698
PECOS Enrollment IDI20131009001334
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 Reassignments

5

Medicare enrollment records show Shilpa Kavuturu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan State University
Same address
Family
804 SERVICE RD STE A142
East Lansing, MI 48824
  • Reassigned Medicare billing, Michigan enrollment
  • 92 clinicians in this Medicare group
NPI 1639253784 (517) 353-3050
Msu Health Care Inc
Same address
Family Medicine
804 SERVICE RD STE A225
East Lansing, MI 48824
  • Reassigned Medicare billing, Michigan enrollment
  • 365 clinicians in this Medicare group
NPI 1316572134 (517) 353-2562
Edward W Sparrow Hospital Association
1.9 mi
Internal Medicine
1200 E MICHIGAN AVE STE 510
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1588586911 (517) 364-5184
Mclaren Greater Lansing
2.8 mi
Obstetrics & Gynecology
3220 DISCOVERY DR STE 200
Lansing, MI 48910
  • Reassigned Medicare billing, Michigan enrollment
  • 167 clinicians in this Medicare group
NPI 1174660013 (517) 975-8910
Wa Foote Memorial Hospital
32 mi
Cardiovascular Disease
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: W.A. Foote Memorial Hospital
  • 474 clinicians in this Medicare group
NPI 1871773481 (517) 788-4800

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

Areas of Expertise CMS Part B claims 6

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.
184 services72 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.
48 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
40 services40 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.
37 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%175 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%76 patients2/55-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.
98%249 patients4/55-star benchmark: 99%
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.
99%98 patients4/55-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.
42%377 patients2/55-star benchmark: 97%
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…
36%370 patients2/55-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…
100%377 patients5/55-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…
42%377 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%377 patients
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.

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 suppliers14 claims14 services$30.47 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 suppliers36 claims36 services$84.31 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$30.31 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.

MS. APRIL PAULETTE MORRIS NP
Nurse Practitioner (Adult Health)
804 SERVICE RD, A217
EAST LANSING, MI 48824
Ingham County (517) 353-8122
DR. ROBIN HAZARD DEMUTH MD
Family Medicine
804 SERVICE RD, SUITE A142
EAST LANSING, MI 48824
Ingham County (517) 353-3050
ASHWEENA GONUGUNTLA MD
Pediatrics
804 SERVICE RD, SUITE A110
EAST LANSING, MI 48824
Ingham County (517) 353-3003
DR. HENRY CHARLES BARRY M.D.
Family Medicine
804 SERVICE RD, ROOM A142
EAST LANSING, MI 48824
Ingham County (517) 353-3050
AMY JANE KEENUM DO, PHARMD
Family Medicine
804 SERVICE RD, A235
EAST LANSING, MI 48824
Ingham County (517) 355-1300
AHSAN SATTAR M.D.
Psychiatry & Neurology (Neurology)
804 SERVICE RD, A217
EAST LANSING, MI 48824
Ingham County (517) 353-8122
OMAR ALBANYAN M.D.
Internal Medicine
804 SERVICE RD, A225 CLINICAL CENTER
EAST LANSING, MI 48824
Ingham County (517) 353-4941
DR. ROSEMARIE T TOLSON D.O.
Family Medicine
804 SERVICE RD, SUITE A109
EAST LANSING, MI 48824
Ingham County (517) 355-1300

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 Shilpa Kavuturu's NPI number?

The NPI number for Shilpa Kavuturu is 1831365170. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Shilpa Kavuturu located?

Shilpa Kavuturu practices at 804 Service Rd Room A225, East Lansing, MI 48824. The listed phone number is (517) 353-4941.

What is Shilpa Kavuturu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shilpa Kavuturu enrolled in Medicare?

Yes. Shilpa Kavuturu 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.

Which organizations bill Medicare for Shilpa Kavuturu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Kavuturu reassigns Medicare benefits to 5 organizations: Michigan State University (East Lansing, MI), Msu Health Care Inc (East Lansing, MI), Edward W Sparrow Hospital Association (Lansing, MI), Mclaren Greater Lansing (Lansing, MI) and Wa Foote Memorial Hospital (Jackson, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shilpa Kavuturu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpa Kavuturu accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shilpa Kavuturu 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 Shilpa Kavuturu affiliated with any hospitals?

According to CMS data, Shilpa Kavuturu is affiliated with Mclaren Greater Lansing and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Shilpa Kavuturu was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.