Individual provider Active NPI

Fnu Parul Chandrika, MD

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1417479593
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D97765 Issued in MD
Practice address
3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215
Phone
(304) 388-5590
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020-03237 NC
Internal Medicine Physician 207R00000X D97765 MD Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215

Mailing address

4240 Altamont Place
White Plains, MD 20695
Phone (240) 518-6030

Other practice location 1

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 705-7870

Other practice location 2

4240 Altamont Place
White Plains, MD 20695
Phone (240) 518-6030

Other practice location 3

400 Association Dr Ste 102
Charleston, WV 25311-1298
Phone (304) 388-1762

Other identifiers 1

IdentifierTypeStateIssuer
219958100MedicaidMD

Other names 1

  • Parul Chandrika Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201008001129 NC Practitioner - Internal Medicine 3577838010 Reassigns benefits to 1 organization
I20230816004158 MD Practitioner - Internal Medicine 3577838010

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D97765MDMDInternal Medicine Physician
2020-03237NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 31, 2020 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

Interoperability endpoints

  • Direct secure messaging: parul.chandrikamd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1417479593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 ALTAMONT PLACE",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "240-518-6030",
            "fax_number": "240-518-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE 101",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041215",
            "telephone_number": "304-388-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Saint Patricks Dr",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034527",
            "country_code": "US",
            "telephone_number": "301-705-7870",
            "fax_number": "301-705-7628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Altamont Place",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "20695",
            "country_code": "US",
            "telephone_number": "240-518-6030",
            "fax_number": "240-518-6031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Association Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253111298",
            "country_code": "US",
            "telephone_number": "304-388-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARUL CHANDRIKA",
        "first_name": "FNU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-03237",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D97765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219958100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARUL",
            "last_name": "CHANDRIKA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.