Mahesh Dutt Chandra, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33977 Issued in MO

Practice address

4911 S Arrowhead Dr
Suite 200
Independence, MO 64055-7005

Phone

(816) 795-9595

Fax

(816) 795-1188

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mahesh.chandra@hca2.eclinicaldirectplus.com

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.

• Gregory L Hummel MD PC

  • Orthopaedic Surgery Physician
  • Independence, MO
  • NPI 1942377320
  NPD (past)
• Independence Regional Medical Group LLC

  • Family Medicine Physician
  • Independence, MO
  • NPI 1922054295
  NPD (past)
• Robert H and Teresita S Petty

  • Anesthesiology Physician
  • Effingham, IL
  • NPI 1306913868
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1013925866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 S ARROWHEAD DR",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557005",
            "telephone_number": "816-795-9595",
            "fax_number": "816-795-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 S ARROWHEAD DR",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557005",
            "telephone_number": "816-795-9595",
            "fax_number": "816-795-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "MAHESH",
        "middle_name": "DUTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "33977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013925866",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205168511",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04888077",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200579980 A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centerwell Senior Primary Care (Mo) PC
• Centerwell Senior Primary Care Mo PC
• Olga K Cerda, MS, LPC
• Certain Care Inc.
• CH MH Services (Mo), LLC
• Change Academy at Lake of the Ozarks
• Change Academy at Lake of the Ozarks
• Pranathi Chanti
• Cinthya Alejandra Chanure
• Curtis Chapin

• Internal Medicine Physician in Independence, MO
• Providers in Independence, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.