Krishna Kishore Chivukula, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

22278 Issued in AL

Practice address

3120 Frederick Rd
Suite I
Opelika, AL 36801-7134

Phone

(334) 887-0955

Fax

(334) 887-0964

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: regionalhealthdiagnostics.krishnachvukula@117073.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Hospital Inc

  • Rural Acute Care Hospital
  • Tallassee, AL
  • NPI 1730120726
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1174503304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 FREDERICK RD",
            "address_2": "SUITE I",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017134",
            "telephone_number": "334-887-0955",
            "fax_number": "334-887-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FREDERICK RD",
            "address_2": "SUITE I",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017134",
            "telephone_number": "334-887-0955",
            "fax_number": "334-887-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIVUKULA",
        "first_name": "KRISHNA",
        "middle_name": "KISHORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "22278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Chappell
• Charles T. Rubio PHD PC
• Thomas M. Chase, M.D.
• Theresa Chavez
• Sara Mphatso Chirambo
• Maximilian Sungho Choo
• Karl Christensen
• Allison Chua, LPC
• Paul J Ciavarelli Jr., MD
• City of Opelika

• Neurology Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Neurology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.