DR. LATCHAIAH CHIRUMAMILLA (M.D.) – Emergency Medicine Physician, NPI 1114987583

DR. LATCHAIAH CHIRUMAMILLA (M.D.) is a healthcare provider. based in Salem, Indiana. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01046148A (IN). The NPI Number for DR. LATCHAIAH CHIRUMAMILLA (M.D.) is 1114987583

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. LATCHAIAH CHIRUMAMILLA (M.D.)
NPI
1114987583
Phone
Not provided
Address
102 CONNIE AVE STE 204
Enumeration Date
28 March 2006
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128835881
Graduation Year
1988 (38 years ago)
PAC ID
3072668177
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20090825000520
Address ID
IN471672304SA911XXSTXX400

Contacts

Secure Messaging
latchaiah.chirumamilla.1@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,268 EMERGENCY MEDICINE in IN

Provider Addresses for DR. LATCHAIAH CHIRUMAMILLA (M.D.)

  • 102 CONNIE AVE STE 204

    SALEM, IN 471672313

    Phone:

    Type: Mailing

  • 1101, North Jim Day Road, Salem, Washington County, Indiana, 47167, United States

    SUITE 107A

    SALEM, IN 471675200

    Phone: (812) 883-5501

    Fax: (812) 883-5513

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090825000520IEmergency MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making141123$0
99285Emergency department visit with high level of medical decision making120109$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9178$0
99283Emergency department visit with low level of medical decision making2724$0
99291Critical care, first 30-74 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 47167)

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Provider's Procedures

DR. LATCHAIAH CHIRUMAMILLA (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIN85610Blood test, clotting time16819
INTERNAL MEDICINEIN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report12399

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
General Surgery, Thoracic SurgeryIN
-IN
-NY
Interventional RadiologyIN
-IN
G A S T R O E N T E R O L O G YTX
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LATCHAIAH CHIRUMAMILLA (M.D.)?
DR. LATCHAIAH CHIRUMAMILLA (M.D.) — NPI 1114987583 — is the standard way to identify this listing.
Is DR. LATCHAIAH CHIRUMAMILLA (M.D.) still practicing?
DR. LATCHAIAH CHIRUMAMILLA (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. LATCHAIAH CHIRUMAMILLA (M.D.)?
For research purposes, treat DR. LATCHAIAH CHIRUMAMILLA (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LATCHAIAH CHIRUMAMILLA (M.D.)?
DR. LATCHAIAH CHIRUMAMILLA (M.D.)'s geographic hint is Salem, Indiana in our summary view.
Is the information about DR. LATCHAIAH CHIRUMAMILLA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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