Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Padmaja Chalasani, MD

Individual provider Family Medicine Physician · NPI 1023113693

Padmaja Chalasani, MD is an Internal Medicine in Saint Marys, Ohio. Qualified in 1990, 36 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
36
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Grand Lake Primary Care At St Marys 1140 S Knoxville Ave Ste A
Saint Marys, OH 45885-2609
Phone: (419) 394-9959
Fax: (419) 394-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.074537 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.074537 (OH)

Record details

NPI number1023113693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address200 Saint Clair Ave, Saint Marys, OH 45885-2400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Marys