Active NPI
Raghu C Chaparala, M.D.
- Gastroenterology Physician
- Wichita, KS
National Provider Identifier
1003852047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0426630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 042239-L | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 09769R | LA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hematology & Oncology Physician
- Wichita, KS
- NPI 1841251394
-
- Critical Access Hospital
- Kingman, KS
- NPI 1508969965
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.