Individual provider Active NPI

Raghu C Chaparala, M.D.

  • Gastroenterology Physician
  • Wichita, KS
National Provider Identifier
1003852047
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0426630 Issued in KS
Practice address
2160 W 21St St N
Wichita, KS 67203-2138
Phone
(316) 267-7175
Fax
(316) 425-7799
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 042239-L PA
Gastroenterology Physician 207RG0100X 09769R LA
Gastroenterology Physician 207RG0100X 0426630 KS Primary

Addresses

Primary practice location

2160 W 21St St N
Wichita, KS 67203-2138

Mailing address

PO Box 3211
Wichita, KS 67201-3211
Phone (316) 267-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042239-LPAMDCritical Care Medicine (Internal Medicine) Physician
09769RLAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ninnescah Valley Health Systems, Inc. Past Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1003852047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3211",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672013211",
            "telephone_number": "316-267-7175",
            "fax_number": "316-425-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032138",
            "telephone_number": "316-267-7175",
            "fax_number": "316-425-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPARALA",
        "first_name": "RAGHU",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "042239-L",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "09769R",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "0426630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.