Individual provider Active NPI

Asha Kancharla, MD

  • Pain Medicine (Anesthesiology) Physician
  • Palestine, TX
National Provider Identifier
1225012271
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
L4014 Issued in TX
Practice address
300 Willow Creek Pkwy
Suite 210a
Palestine, TX 75801-4389
Phone
(903) 723-1940
Fax
(903) 723-9891
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X L4014 TX Primary

Addresses

Primary practice location

300 Willow Creek Pkwy
Suite 210a
Palestine, TX 75801-4389

Mailing address

PO Box 2427
Palestine, TX 75802-2427
Phone (903) 723-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040722000179 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8527048479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1336 S Palestine St
Athens, TX 75751-3621
Phone (903) 723-1940

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asha Kancharla MD PA Pain Medicine CurrentSince May 8, 2015 Accepting new patients

Locations

1334 S Palestine St
Athens, TX 75751
Phone (903) 579-7205

1336 S Palestine St
Athens, TX 75751
Phone (903) 675-8882

300 Willow Creek Pkwy
Ste 130
Palestine, TX 75801
Phone (903) 677-7434

300 Willow Creek Pkwy
Ste 210A
Palestine, TX 75801
Phone (903) 723-1940

126 Medical Dr
Ste A
Palestine, TX 75801
Phone (903) 723-1940

4002 S Loop 256
Ste R
Palestine, TX 75801
Phone (903) 723-0911

Interoperability endpoints

  • Direct secure messaging: ashakancharla@mhccaremail.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1225012271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758022427",
            "telephone_number": "903-723-2465",
            "fax_number": "903-723-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLOW CREEK PKWY",
            "address_2": "SUITE 210A",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014389",
            "telephone_number": "903-723-1940",
            "fax_number": "903-723-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHARLA",
        "first_name": "ASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.