LATHA SREE POLAVARAM (MD) – Hematology & Oncology Physician, NPI 1194934802
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
476 HEMATOLOGY/ONCOLOGY in MI
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Provider Addresses for LATHA SREE POLAVARAM (MD)
5800 FOREMOST DR SE STE 300
GRAND RAPIDS, MI 495467062
Phone: (616) 954-9800
Type: Mailing
3100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49506, United States
GRAND RAPIDS, MI 495032563
Phone: (616) 954-9800
Fax: (616) 954-2116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,242.
Total Amount is formed as General ($1,242) + Research ($0) + Ownership ($0) = $1,242.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Celgene Corporation ($129).
Total Amount
$1,242
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Celgene Corporation | $129 |
| ABBVIE INC. | $109 |
| ARRAY BIOPHARMA INC | $102 |
| Ipsen Biopharmaceuticals, Inc | $99 |
| Pharmacyclics LLC, an AbbVie Company | $98 |
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: 2012-08-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120803000802 | I | Hematology/Oncology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1439 | Injection, ferric carboxymaltose, 1 mg | 18,750 | 17 | $0 |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 16,740 | 14 | $0 |
| J9025 | Injection, azacitidine, 1 mg | 9,900 | 11 | $0 |
| J9041 | Injection, bortezomib, 0.1 mg | 3,570 | 14 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,152 | 222 | $0 |
Insurance plans in this area (ZIP 49546)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | MI | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 175 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Medical Oncology | MI | |
| Nurse Practitioner | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI |
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