Individual provider Active NPI

Swapna Veerabhadriah Chenna, M.D.

  • Family Medicine Physician
  • Morrisville, NC
National Provider Identifier
1164688644
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-00540 Issued in NC
Practice address
6102 Grace Park Dr
Morrisville, NC 27560-6003
Phone
(919) 235-6405
Fax
(919) 235-6406
NPI assigned
Aug 4, 2008
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A114475 CA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2012-00540 NC Primary

Addresses

Primary practice location

6102 Grace Park Dr
Morrisville, NC 27560-6003

Mailing address

6102 Grace Park Dr
Morrisville, NC 27560-6003
Phone (919) 235-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20121108000200 NC Practitioner - Family Practice 7214124817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300

231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 235-6410

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

8001 T W Alexander Dr
Raleigh, NC 27617-4883
Phone (919) 350-0953

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-00540NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Wake Specialty Physicians, LLC Family Medicine Current Accepting new patients
Wake Specialty Physicians LLC CurrentSince Nov 1, 2012 Accepting new patients

Locations

6102 Grace Park Dr
Morrisville, NC 27560
Phone (919) 235-6405

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

Interoperability endpoints

  • Direct secure messaging: schenna8082@directhisp.wakemed.org

Organizations & group practices 3

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1164688644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 GRACE PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606003",
            "telephone_number": "919-235-6405",
            "fax_number": "919-235-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 GRACE PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606003",
            "telephone_number": "919-235-6405",
            "fax_number": "919-235-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNA",
        "first_name": "SWAPNA",
        "middle_name": "VEERABHADRIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114475",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-00540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.