Organization Active NPI

S. Chapa, M.D., Inc

  • Specialist
  • Brookville, PA
National Provider Identifier
1336250778
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD038943L Issued in PA
Legal business name
S. CHAPA, M.D., INC
Practice address
240 Allegheny Blvd Ste a
Brookville, PA 15825-2324
Phone
(814) 849-5151
Fax
(814) 849-9624
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Sukumar M Chapa, M.D.NPI 1871555904
Title
President
Phone
(814) 849-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD038943L PA Primary

Addresses

Primary practice location

240 Allegheny Blvd Ste a
Brookville, PA 15825-2324

Mailing address

240 Allegheny Blvd Ste a
Brookville, PA 15825-2324
Phone (814) 849-5151

Other identifiers 1

IdentifierTypeStateIssuer
0008219620002MedicaidPA

National Provider Directory

National Provider Directory

Locations

240 Allegheny Blvd
Ste A
Brookville, PA 15825
Phone (814) 375-3890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1336250778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY BLVD STE A",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252324",
            "telephone_number": "814-849-5151",
            "fax_number": "814-849-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY BLVD STE A",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252324",
            "telephone_number": "814-849-5151",
            "fax_number": "814-849-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CHAPA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "SUKUMAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-849-5151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038943L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008219620002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.