Sujay Kumar Kannamangala Chandrashekar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD54596 Issued in TN

Practice address

758 Highway 46 S
Dickson, TN 37055-2556

Phone

(615) 446-2708

Fax

(615) 446-1357

NPI assigned

Apr 4, 2007

Last updated

Nov 17, 2016By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: sujaykumar.kannamangalachandrashekar@772032128417796.direct.elationemr.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.

• Apogee Medical Group, Arkansas, PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1295774610
  NPD (past)
• Harris Medical Clinics Inc.

  • Family Medicine Physician
  • Newport, AR
  • NPI 1588663660
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1417079393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "address_2": "SUITE 209",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552855",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 HIGHWAY 46 S",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552556",
            "telephone_number": "615-446-2708",
            "fax_number": "615-446-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAMANGALA CHANDRASHEKAR",
        "first_name": "SUJAY KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD54596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD54596",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022894",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew John Joseph, M.D.
• Scott F Jutte, D.C.
• Robert Gerald Kail
• Sarah Denise Kaiser, P.T.
• Breann Kakacek, RN
• Ehab S Kasasbeh, M.D.
• Jeffrey D Kauppi, PA
• John P Kelsey III, PHARMD
• Stanley S Kelsey, MD
• Allyson Kerr, COTA/L

• Family Medicine Physician in Dickson, TN
• Providers in Dickson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.