Individual provider Active NPI

Chandramouli Chakinala, M.D.

  • Pulmonary Disease Physician
  • Wichita Falls, TX
National Provider Identifier
1447286984
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F0413 Issued in TX
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

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
133076305MedicaidTX

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

LicenseStateTypeSpecialty
F0413TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
DSK Arrhythmia Services PLLC PastSince Jul 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cchakinala13547@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: 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.

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.

Verify at the official NPI Registry.