Active NPI
Chandramouli Chakinala, M.D.
- Pulmonary Disease Physician
- Wichita Falls, TX
National Provider Identifier
1447286984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- F0413
- Practice address
- 2200 9TH St
Wichita Falls, TX 76301-4029 - Phone
- (940) 723-4134
- Fax
- (940) 322-2341
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F0413 | TX | |
| Pulmonary Disease Physician | 207RP1001X | F0413 | TX | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | F0413 | TX |
Addresses
Primary practice location
2200 9TH St
Wichita Falls, TX 76301-4029
Mailing address
3202 Hamilton Blvd
Wichita Falls, TX 76308-2025
Phone (940) 322-9390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133076305 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0413 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| DSK Arrhythmia Services PLLC | Past | Accepting new patients |
Interoperability endpoints
- cchakinala13547@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Cardiovascular Disease Physician
- Wichita Falls, TX
- NPI 1275067910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1447286984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 HAMILTON BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082025",
"telephone_number": "940-322-9390",
"fax_number": "940-322-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 9TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014029",
"telephone_number": "940-723-4134",
"fax_number": "940-322-2341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKINALA",
"first_name": "CHANDRAMOULI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F0413",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "F0413",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "F0413",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133076305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.