Individual provider Active NPI

Rangarao Chilukuri, MD

  • Internal Medicine Physician
  • San Angelo, TX
National Provider Identifier
1447279351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0001 Issued in TX
Practice address
2018 Pulliam St
San Angelo, TX 76905-5148
Phone
(325) 658-6138
Fax
(325) 658-8104
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0001 TX Primary

Addresses

Primary practice location

2018 Pulliam St
San Angelo, TX 76905-5148

Mailing address

2714 Oak Hills TRL
San Angelo, TX 76904-7573
Phone (325) 658-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150123001570 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4183948045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0001TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447279351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 OAK HILLS TRL",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047573",
            "telephone_number": "325-658-6138",
            "fax_number": "325-658-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 PULLIAM ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769055148",
            "telephone_number": "325-658-6138",
            "fax_number": "325-658-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILUKURI",
        "first_name": "RANGARAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.