Organization Active NPI

Periakaruppa Chockalingam MD PA

  • Cardiovascular Disease Physician
  • Sebring, FL
National Provider Identifier
1154624393
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME39541 Issued in FL
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

Updated by the provider on Apr 24, 2012

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
066421900MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.