Pandurang P Chillal, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-21994 Issued in KS

Practice address

20 NE Saint Lukes Blvd
Suite 350
Lees Summit, MO 64086-6001

Phone

(816) 943-0706

Fax

(816) 524-4325

NPI assigned

Aug 31, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pandurang.chillal@hca2.eclinicaldirectplus.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.

• Statland Medical Group LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1902123573

  Internal Medicine, KS

  Medicare reassignment Care Compare group NPD
• Statland Clinic LTD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1487679098

  Internal Medicine

  NPD (past)

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

• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871

  Hospital

  Care Compare affiliation
• Midwest Division - RBH, LLC

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763

  Hospital

  Care Compare affiliation
• Arc Therapy Services, LLC

  • Home Health Agency
  • Overland Park, KS
  • NPI 1477695468
  Care Compare affiliation
• Interim Healthcare of Kansas City, Inc

  • Home Health Agency
  • Overland Park, KS
  • NPI 1316934086
  Care Compare affiliation
• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337

  Hospital

  Care Compare affiliation
• Midwest Division-Oprmc LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484

  Hospital

  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681

  Hospital

  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statland Medical Group LLC 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Midwest Healthcare at Home Home health agency, Overland Park, KS, CCN 178085
• Interim Healthcare of Kansas City Home health agency, Overland Park, KS, CCN 177087
• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407968753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092504",
            "telephone_number": "816-943-0706",
            "fax_number": "913-451-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD",
            "address_2": "SUITE 350",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-943-0706",
            "fax_number": "816-524-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12140 Nall Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662092504",
            "country_code": "US",
            "telephone_number": "816-943-0706",
            "fax_number": "913-451-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 NE Saint Lukes Blvd",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866001",
            "country_code": "US",
            "telephone_number": "816-943-0706",
            "fax_number": "816-524-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILLAL",
        "first_name": "PANDURANG",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-21994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207060A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PANDURANG.CHILLAL@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12140 Nall Ave Ste 100",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662092504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Children'S Mercy-Community Choice Pediatrics
• Children'S Mercy-Preferred Pediatrics
• Children'S Mercy-Summit Pediatrics & Adolescent Medicine
• Dawn L Childs, APRN, FNP-BC
• Cade Chiles, PA-C
• Lakshmi Chintala, M.D.
• Chiropractic Now P.C.
• Amy Y Chow, MD
• Bradley Dean Chrisjohn, D.O.
• Austin Christensen, PA

• All providers in Lees Summit, MO
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.