Individual provider Active NPI

Chaitanya Bukkapatnam, MD, MBA

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1093208647
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.146117 Issued in OH
Practice address
881 E Main St
Columbus, OH 43205-1713
Phone
(614) 253-8537
NPI assigned
Jun 8, 2018
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 7468851 WI
General Practice Physician 208D00000X 72815-20 WI
General Practice Physician 208D00000X 35.146117 OH Primary

Addresses

Primary practice location

881 E Main St
Columbus, OH 43205-1713

Mailing address

7540 Ravens Nest CT
Columbus, OH 43235-1783
Phone (614) 670-2609

Other practice location 1

710 W Waterloo St
Canal Winchester, OH 43110-1092
Phone (614) 321-2581

Other practice location 2

7709 Hoke Rd
Englewood, OH 45315-9725
Phone (937) 809-2940

Other practice location 3

3813 S Hamilton Rd
Groveport, OH 43125-9330
Phone (614) 835-0400

Other practice location 4

4300 Clime Rd Ste 110
Columbus, OH 43228-6491
Phone (614) 272-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001769 OH Practitioner - General Practice 8022365238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Wright State University Boonshoft School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Behavioral LLCGroup PAC ID 1052595402, 23 clinicians

Practice addresses (Care Compare)

2611 Wayne Ave
Dayton, OH 45420-1833
Phone (937) 228-0579

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72815-20WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral LLC CurrentSince Aug 28, 2022 Accepting new patients
Access Ohio, LLC CurrentSince Aug 25, 2022 Accepting new patients
Access Behavioral LLC Single Specialty CurrentSince Aug 25, 2022 Accepting new patients
Access Ohio, LLC Single Specialty CurrentSince Aug 25, 2022 Accepting new patients
Main Street Family Medicine ,LLC Single Specialty CurrentSince Aug 28, 2022 Accepting new patients

Locations

6400 E Broad St
Columbus, OH 43213
Phone (614) 367-7700

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

881 E Main St
Columbus, OH 43205
Phone (614) 253-8537

2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579

2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579

Organizations & group practices 5

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 6

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1093208647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 RAVENS NEST CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351783",
            "telephone_number": "614-670-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051713",
            "telephone_number": "614-253-8537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 W Waterloo St",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431101092",
            "country_code": "US",
            "telephone_number": "614-321-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7709 Hoke Rd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453159725",
            "country_code": "US",
            "telephone_number": "937-809-2940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3813 S Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Groveport",
            "state": "OH",
            "postal_code": "431259330",
            "country_code": "US",
            "telephone_number": "614-835-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Clime Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432286491",
            "country_code": "US",
            "telephone_number": "614-272-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKKAPATNAM",
        "first_name": "CHAITANYA",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "7468851",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "72815-20",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.146117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.