Individual provider Active NPI

Lingaiah Chandrashekar, MD

  • Gastroenterology Physician
  • Paducah, KY
National Provider Identifier
1013934710
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
52067 Issued in KY
Practice address
225 Medical Center Dr Ste 308
Paducah, KY 42003
Phone
(270) 443-0777
Fax
(270) 443-0999
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD39482 TN
Gastroenterology Physician 207RG0100X 01058085A IN
Gastroenterology Physician 207RG0100X 52067 KY Primary

Addresses

Primary practice location

225 Medical Center Dr Ste 308
Paducah, KY 42003

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102

Other practice location 1

127 Crestview Park Dr
Dickson, TN 37055-2855
Phone (615) 446-5121

Other practice location 2

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-8070

Other practice location 3

127 Crestview Park Dr
Dickson, TN 37055-2855
Phone (615) 446-5121

Other practice location 4

2231 Carew St
Fort Wayne, IN 46805-4713
Phone (260) 266-5230

Other identifiers 1

IdentifierTypeStateIssuer
3330719MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050720001136 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 4082658778 Reassigns benefits to 1 organization
I20190320003263 KY Practitioner - Gastroenterology 4082658778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

216 W Walnut St
Suite a
Danville, KY 40422-1832
Phone (859) 239-5870

225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (270) 443-0777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy191
Upper gastrointestinal (GI) endoscopy for acid reflux178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058085AINMDGastroenterology Physician
MD39482TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource, Inc Gastroenterology CurrentSince Mar 1, 2019 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Mar 1, 2019 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients

Locations

216 W Walnut St
Danville, KY 40422
Phone (859) 236-2314

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

Interoperability endpoints

  • Direct secure messaging: lchandrashekar636128@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1013934710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 308",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-443-0777",
            "fax_number": "270-443-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Crestview Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552855",
            "country_code": "US",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1272 Garrison Dr",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292598",
            "country_code": "US",
            "telephone_number": "615-867-8070",
            "fax_number": "615-867-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Crestview Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552855",
            "country_code": "US",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Carew St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054713",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "260-266-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRASHEKAR",
        "first_name": "LINGAIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD39482",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01058085A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "52067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3330719",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.