Chandrasekhar Polepalle, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

18808 Issued in OK

Practice address

3720 W Broadway St
Muskogee, OK 74401-2141

Phone

(918) 683-5989

Fax

(918) 688-6690

NPI assigned

Aug 25, 2005

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19201/brand/1/csg/1/fhir/r4

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.

• The Heart Clinic, P.C.

  • Cardiovascular Disease Physician
  • Muskogee, OK
  • NPI 1215404108
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1376536219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012141",
            "telephone_number": "918-683-5989",
            "fax_number": "918-688-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012141",
            "telephone_number": "918-683-5989",
            "fax_number": "918-688-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEPALLE",
        "first_name": "CHANDRASEKHAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "18808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PK Imaging Center
• PK Xray Inc
• Platte Dialysis LLC
• Pleasant Valley Health Care Center, Inc
• Haley Elaine Poffel
• Lauren Polumbus
• Vicki Poole
• Carmen Alina Popescu, RN
• Lenard Austin Poplin, M.D.
• Belinda Porter, BHA

• Gastroenterology Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Gastroenterology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.