Active NPI
Periakaruppa Chockalingam MD PA
- Cardiovascular Disease Physician
- Sebring, FL
National Provider Identifier
1154624393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME39541
- Legal business name
- PERIAKARUPPA CHOCKALINGAM MD PA
- Practice address
- 3591 S Highlands Ave
Sebring, FL 33870-5410 - Phone
- (863) 382-2826
- Fax
- (863) 382-0966
- NPI assigned
- Dec 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Periakaruppa Chockalingam, MD
- Title
- Physician
- Phone
- (863) 382-2826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME39541 | FL | Primary |
Addresses
Primary practice location
3591 S Highlands Ave
Sebring, FL 33870-5410
Mailing address
3591 S Highlands Ave
Sebring, FL 33870-5410
Phone (863) 382-2826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066421900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1154624393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3591 S HIGHLANDS AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705410",
"telephone_number": "863-382-2826",
"fax_number": "863-382-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 S HIGHLANDS AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705410",
"telephone_number": "863-382-2826",
"fax_number": "863-382-0966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIAKARUPPA CHOCKALINGAM MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-09",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "CHOCKALINGAM",
"authorized_official_first_name": "PERIAKARUPPA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "863-382-2826",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME39541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066421900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.