Kollagunta Sreenivasa Chandrasekhar, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME64020 Issued in FL

Practice address

320 1St St N
Winter Haven, FL 33881-4113

Phone

(863) 508-1101

Fax

(863) 299-6158

NPI assigned

Mar 14, 2006

Last updated

Jan 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Winter Haven Hospital IncGroup PAC ID 4789578972, 4 clinicians

KSC Cardiology PAGroup PAC ID 2668478165, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: chandrasekhar.kollagunta.001.0090054@cfhs.meditab.direct-ci.com
• Direct secure messaging: chandrasekhar.kollagunta.003.0090054@cfhs.meditab.direct-ci.com
• Direct secure messaging: chandrasekhar.kollagunta.004.0090054@cfhs.meditab.direct-ci.com
• Direct secure messaging: chandrasekhar.kollagunta.010.0090054@cfhs.meditab.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BEJADA
• Direct secure messaging: kollagunta.chandrasekhar@kscc.eclinicaldirectplus.com

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.

• KSC Cardiology PA

  • Specialist
  • Winter Haven, FL
  • NPI 1023035862
  Medicare reassignment Care Compare group NPD
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Medicare reassignment Care Compare group NPD
• Winter Haven Hospital Inc

  dba WH Physician Billing EKG

  • Clinical Cardiac Electrophysiology Physician
  • Winter Haven, FL
  • NPI 1780150524
  NPD
• Midflorida Internal Medicine Associates, PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1275702037
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1396713491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814113",
            "telephone_number": "863-508-1101",
            "fax_number": "863-299-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814113",
            "telephone_number": "863-508-1101",
            "fax_number": "863-299-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKHAR",
        "first_name": "KOLLAGUNTA",
        "middle_name": "SREENIVASA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME64020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "18806",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372983400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Chacin Nucette
• Raymond Chacon
• Stephen E Chambers, O.D.
• Lori-Anne Champagnie
• Karthic Chandran, MD
• Allison Marie Chapman, OD
• Ann Chapman, MA, CAP, RMHCI
• Lacey Mikelle Charbonneau, PHARMD, BCGP
• Madeline Charles, CNM
• Sherline Charles

• Cardiovascular Disease Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.