Chivukula Subbarao, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-29669 Issued in KS

Practice address

10111 E 21St St N Ste 305
Wichita, KS 67206-3581

Phone

(316) 305-9618

Fax

(316) 440-9701

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Locations

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.

• Heartland Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Salina, KS
  • NPI 1538135207
  NPD
• Shaw Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1174973606
  NPD (past)
• Vijay K Khurana M.D., P.a.

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1174803266
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1437169109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 305",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "316-305-9618",
            "fax_number": "316-440-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 305",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "316-305-9618",
            "fax_number": "316-440-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBARAO",
        "first_name": "CHIVUKULA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "04-29669",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-29669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kansasplasticsurgery@protonmail.com",
            "affiliation": "N",
            "address_1": "10111 E 21st St N Ste 305",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle Jacob Sturdy
• Carly Jean Sturm, AU.D.
• Denise A Stutey, LSCSW
• Jeffrey L Stutler, MD
• Karen S Stutzman, MS, RD, LD, CNSD
• Subhash Shah MD PA
• Sublime Home Health Care LLC
• Substance Abuse Assessment Ctr
• Substance Abuse Assessment Ctr
• Substance Abuse at Hunter Health Clinic

• Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.