NPIMap

Organization Active NPI

Family Medical Offices of Dr. Chenchugalla, M.D., PC

  • Primary Care Clinic/Center
  • Adelphi, MD
National Provider Identifier
1154571321
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D67876 Issued in MD
Legal business name
FAMILY MEDICAL OFFICES OF DR. CHENCHUGALLA, M.D., PC
Practice address
7411 Riggs Rd
Suite 304
Adelphi, MD 20783-4246
Phone
(301) 445-1452
Fax
(301) 560-0841
NPI assigned
Sep 24, 2008
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Manohar Kumar Chenchugalla, M.D.NPI 1508982273
Title
President
Phone
(301) 445-1452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101242881 VA
Primary Care Clinic/Center 261QP2300X D67876 MD Primary

Addresses

Primary practice location

7411 Riggs Rd
Suite 304
Adelphi, MD 20783-4246

Mailing address

7411 Riggs Rd
Suite 304
Adelphi, MD 20783-4246
Phone (301) 445-1452

Other identifiers 3

IdentifierTypeStateIssuer
1508982273MedicaidVA
3810011459MedicaidWV
022479100MedicaidMD

National Provider Directory

National Provider Directory

Locations

7411 Riggs Rd
Ste 304
Adelphi, MD 20783
Phone (301) 445-1452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1154571321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 RIGGS RD",
            "address_2": "SUITE 304",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207834246",
            "telephone_number": "301-445-1452",
            "fax_number": "301-560-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 RIGGS RD",
            "address_2": "SUITE 304",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207834246",
            "telephone_number": "301-445-1452",
            "fax_number": "301-560-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL OFFICES OF DR. CHENCHUGALLA, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "CHENCHUGALLA",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-445-1452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101242881",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D67876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508982273",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011459",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022479100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.