NPIMap

Individual provider Active NPI

Chaitanya Korrapati, M.D.

  • Family Medicine Physician
  • Russellville, AR
National Provider Identifier
1033524863
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E12012 Issued in AR
Practice address
1808 W Main St
Russellville, AR 72801-2724
Phone
(479) 964-4178
Fax
(479) 964-5910
NPI assigned
Jul 1, 2014
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E12012 AR Primary
Hospitalist Physician 208M00000X E-12012 AR

Addresses

Primary practice location

1808 W Main St
Russellville, AR 72801-2724

Mailing address

6 Melrose CV
Little Rock, AR 72212-2775
Phone (423) 930-5278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215000925 AR Practitioner - Family Practice 5092096610 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sage Health Arkansas PLLCGroup PAC ID 1658720297, 5 clinicians

Practice addresses (Care Compare)

1800 N Reynolds Rd
Suite 8
Bryant, AR 72022-2525
Phone (501) 746-0818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E12012ARMDFamily Medicine Physician
E-12012ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
St Mary's Physician Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Ies HSP Arkansas PLLC Hospitalist CurrentSince Aug 1, 2023 Accepting new patients
Sage Health Arkansas PLLC CurrentSince Jan 27, 2025 Accepting new patients
Springdale- Bentonville HBP Services, LLC Hospitalist CurrentSince May 9, 2024 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Aug 4, 2023 Accepting new patients
Southeast Arkansas Hospitalists, LLP Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

6929 John F Kennedy Blvd
Ste 108
North Little Rock, AR 72116
Phone (501) 235-8295

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Interoperability endpoints

  • Direct secure messaging: chaitanya.korrapati.1@27478.direct.athenahealth.com

Organizations & group practices 8

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

Hospital & facility affiliations 3

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1033524863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MELROSE CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122775",
            "telephone_number": "423-930-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012724",
            "telephone_number": "479-964-4178",
            "fax_number": "479-964-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRAPATI",
        "first_name": "CHAITANYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E12012",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-12012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.