SARAT CHANDRA KHANDAVALLI (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1295996916

SARAT CHANDRA KHANDAVALLI (M.D.) is a healthcare provider. based in Wyoming, Michigan. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301097445 (MI). The NPI Number for SARAT CHANDRA KHANDAVALLI (M.D.) is 1295996916

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
SARAT CHANDRA KHANDAVALLI (M.D.)
NPI
1295996916
Phone
(616) 252-7166
Address
5900 BYRON CENTER AVE SW
Enumeration Date
25 June 2008
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166856258
Graduation Year
2003 (23 years ago)
PAC ID
3779637996
Group Practice PAC ID
5698677573
Professional Enrollment ID
I20101221000759
Address ID
MI495034502GR200XXSEXX400

Contacts

Secure Messaging
skhandavalli186729@direct.trinity-health.org
Secure Messaging
skhandavalli33604@direct.metrohealth.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

573 PATHOLOGY in MI

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Provider Addresses for SARAT CHANDRA KHANDAVALLI (M.D.)

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    WYOMING, MI 495199606

    Phone: (616) 252-7166

    Type: Location

  • 200 Jefferson Ave SE

    Grand Rapids, MI 495034502

    Phone: (616) 685-6258

    Type: Location

  • Lima, Pellegrini, Villa Rosa, Partido del Pilar, Buenos Aires, B1629 PILAR, Argentina

    LIMA, OH 458021629

    Phone: (877) 378-4293

    Fax: (419) 223-2726

    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: 2010-12-21

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
I20101221000759IPathologyMITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity567274$0
84165Protein measurement, serum349222$0
88341Special stained specimen slides to examine tissue, each additional procedure16339$0
88342Special stained specimen slides to examine tissue, initial procedure6957$0
86334Immunologic analysis technique on serum (immunofixation)5349$0
View full utilization report →

Insurance plans in this area (ZIP 49519)

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Provider's Procedures

SARAT CHANDRA KHANDAVALLI (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88304Pathology examination of tissue using a microscope, moderately low complexity8576
PATHOLOGYGA88307Pathology examination of tissue using a microscope, moderately high complexity11888

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: 5698677573View full group profile
NameSpecialtyState
P A T H O L O G YMI
P A T H O L O G YGA
P A T H O L O G YMI
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to SARAT CHANDRA KHANDAVALLI (M.D.)?
NPI 1295996916 is assigned to SARAT CHANDRA KHANDAVALLI (M.D.) under the national enumeration system.
Is SARAT CHANDRA KHANDAVALLI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SARAT CHANDRA KHANDAVALLI (M.D.) work in?
You can think of SARAT CHANDRA KHANDAVALLI (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SARAT CHANDRA KHANDAVALLI (M.D.)?
The snapshot lists Wyoming, Michigan for SARAT CHANDRA KHANDAVALLI (M.D.); download NPPES for the complete set.
Is SARAT CHANDRA KHANDAVALLI (M.D.) a real provider?
This page reflects official NPPES data for NPI 1295996916. Always confirm identity and privileges with the practice and licensing boards.

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