DR. SUSHMA CHANDRAMOULI (M.D) – Psychiatry Physician, NPI 1063641546

DR. SUSHMA CHANDRAMOULI (M.D) is a healthcare provider. based in Tecumseh, Michigan. specializing in Psychiatry Physician. They hold the professional credentials M.D. They hold a License No. 2009009250 (MO). The NPI Number for DR. SUSHMA CHANDRAMOULI (M.D) is 1063641546

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSHMA CHANDRAMOULI (M.D)
NPI
1063641546
Phone
(573) 201-8348
Address
500 E POTTAWATAMIE ST
Enumeration Date
6 July 2009
Last Update Date
2 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7349448300
Graduation Year
2002 (24 years ago)
PAC ID
2860635000
Group Practice PAC ID
7012985237
Professional Enrollment ID
I20130906000848
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

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Provider Addresses for DR. SUSHMA CHANDRAMOULI (M.D)

  • ProMedica Herrick Hospital, 500, East Pottawatamie Street, Tecumseh, Lenawee County, Michigan, 49286, United States

    TECUMSEH, MI 492862018

    Phone: (573) 201-8348

    Mailing address matches the actual address.

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: 2013-09-06

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
I20130906000848IPsychiatryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49286)

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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: 7012985237View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Nurse PractitionerMI
Clinical Social WorkerMI
Nurse PractitionerMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I cross-check DR. SUSHMA CHANDRAMOULI (M.D) using NPI 1063641546?
NPI 1063641546 belongs to DR. SUSHMA CHANDRAMOULI (M.D); compare other details if you need extra assurance.
Would DR. SUSHMA CHANDRAMOULI (M.D) appear as active to a payer?
You can treat DR. SUSHMA CHANDRAMOULI (M.D) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. SUSHMA CHANDRAMOULI (M.D)?
DR. SUSHMA CHANDRAMOULI (M.D)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUSHMA CHANDRAMOULI (M.D)?
Directory geography for DR. SUSHMA CHANDRAMOULI (M.D) centers on Tecumseh, Michigan.
Does DR. SUSHMA CHANDRAMOULI (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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