SARAT CHANDRA KHANDAVALLI M.D.
NPI 1295996916
Pathology - Anatomic Pathology & Clinical Pathology in Wyoming, MI
NPI Status: Active since June 25, 2008
Contact Information
5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone: (616) 252-7166
- Individual
- Male
- Years of Experience 23
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SARAT KHANDAVALLI
This page provides the complete NPI Profile along with additional information for Sarat Khandavalli, a provider established in Wyoming, Michigan with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1295996916 assigned on June 2008. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301097445 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1295996916
- Provider Name
- SARAT CHANDRA KHANDAVALLI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5900 BYRON CENTER AVE SW WYOMING, MI 49519
- Location Phone
- (616) 252-7166
- Mailing Address
- PO BOX 1629 LIMA, OH 45802
- Mailing Phone
- (877) 378-4293
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-25-2008
- Last Update Date
- 07-14-2021
- Code Navigator
Location Map
Secondary Locations
- 200 Jefferson Ave SE
Grand Rapids, MI 49503
(616) 685-6258
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301097445
- License State
- MI
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
11295996916 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
Sarat Khandavalli is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Sarat Khandavalli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779637996
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101221000759
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cell examination of specimen, selective cellular enhancement technique
Evaluation of fine needle aspirate with interpretation and report
Immunologic analysis technique on serum (immunofixation)
Pathology examination of tissue using a microscope, high complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Protein measurement, serum
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, initial procedure
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 42 times for 37 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 23 times for 15 patientsImmunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
This service was performed 34 times for 33 patientsA high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
This service was performed 17 times for 16 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 513 times for 263 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 62 times for 43 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 20 times for 19 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 21 times for 17 patientsA serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
This service was performed 300 times for 198 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 128 times for 24 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 49 times for 42 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $24.11 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49519 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.15
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sarat Khandavalli is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SPECTRUM HEALTH | 100 MICHIGAN ST NE GRAND RAPIDS, MI 49503 | (616) 391-1774 | Acute Care Hospitals | |
TRINITY HEALTH MUSKEGON HOSPITAL | 1500 E SHERMAN BLVD MUSKEGON, MI 49441 | (231) 726-3511 | Acute Care Hospitals | |
HOLLAND COMMUNITY HOSPITAL | 602 MICHIGAN AVE HOLLAND, MI 49423 | (616) 392-5141 | Acute Care Hospitals | |
UNIVERSITY OF MICHIGAN HEALTH - WEST | 5900 BYRON CENTER AVENUE, SW WYOMING, MI 49519 | (616) 252-7200 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 9 | 5 | 9 | 9 | 6 | 9 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 18 | 5 | 18 | 9 | 12 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 8 + 5 + 1 + 8 + 9 + 1 + 2 + 9 + 2 + 24 = 74 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 74 = 6 | 6 |
The NPI number 1295996916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1255304069 | DR. ROBERT L MORRIS D.O. Individual | Emergency Medicine (Emergency Medical Services) | 5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL WYOMING, MI 49519 (616) 363-7867 |
1528032539 | DR. TODD HARTGERINK D.O. Individual | Emergency Medicine (Emergency Medical Services) | 5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL WYOMING, MI 49519 (616) 252-7123 |
1033183900 | DR. DANIEL HEARLD D.O. Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL WYOMING, MI 49519 (616) 363-7867 |
1609839356 | DR. JERRY V O'BRIEN DO Individual | Anesthesiology | 5900 BYRON CENTER AVE SW METRO HEALTH HOSPITAL WYOMING, MI 49519 (616) 808-3944 |
1134182892 | DR. THOMAS L GOODELL DO Individual | Anesthesiology | 5900 BYRON CENTER AVE SW METRO HEALTH - HOSPITAL WYOMING, MI 49519 (616) 808-3944 |
1316902729 | GHAYAS UDDIN M.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7166 |
1538124508 | JOHN MICHAEL WILSON M.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7429 |
1700844511 | MARC A AFMAN DO Individual | Emergency Medicine (Emergency Medical Services) | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7123 |
1467468827 | DR. RAJ NEALE HARI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7200 |
1427162072 | PATRICIA GUNTERN DO Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7123 |
1336228147 | DIANE SUE TRAVER R.D. PH.D. C.D.E. Individual | Dietitian, Registered | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-8100 |
1962622696 | DR. ALLISON LEIGH EDBERG D.O. Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7200 |
1922284116 | DR. DANIEL LEE MANN D.O. Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7200 |
1184801003 | DR. GEORGE WILLIAM MCCAMMON JR. D.O. Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW MEDICAL EDUCATION DEPARTMENT WYOMING, MI 49519 (800) 968-0051 |
1952577900 | PROFESSIONAL HEALTH SERVICES, PLLC Organization | Internal Medicine | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-4642 |
1679729651 | MICHIGAN MEDICAL PATIENT CARE Organization | Surgery (Vascular Surgery) | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 356-4100 |
1043454762 | MRS. JULIE ANN AUSTIN Individual | Dietitian, Registered | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7000 |
1861620890 | MICHAEL TEDROW D.O. Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW DEPARTMENT OF MEDICAL EDUCATION WYOMING, MI 49519 (616) 479-6603 |
1679702229 | DR. RACHEL LYNN POLINSKI D.O. Individual | Emergency Medicine | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (616) 252-7419 |
1366753048 | DR. MICHAEL JAMES SUMNERS D.O. Individual | Internal Medicine | 5900 BYRON CENTER AVE SW WYOMING, MI 49519 (517) 862-9315 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295996916, enumerated in the NPI registry as an "individual" on June 25, 2008
The provider is located at 5900 Byron Center Ave Sw Wyoming, Mi 49519 and the phone number is (616) 252-7166
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider has more than 23 years of experience.
The provider might be accepting Accepts: HAP CareSource, Molina Healthcare, Oscar Insurance. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.15 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Cell examination of specimen, selective cellular enhancement technique, Evaluation of fine needle aspirate with interpretation and report, Immunologic analysis technique on serum (immunofixation), Pathology examination of tissue using a microscope, high complexity, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity, Preparation of tissue for examination by removing any calcium present, Protein measurement, serum, Special stained specimen slides to examine tissue, each additional procedure and Special stained specimen slides to examine tissue, initial procedure.
The practitioner is affiliated to the following hospital(s): SPECTRUM HEALTH, TRINITY HEALTH MUSKEGON HOSPITAL, HOLLAND COMMUNITY HOSPITAL and UNIVERSITY OF MICHIGAN HEALTH - WEST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.