Manohar Kumar Chenchugalla, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME114742 Issued in FL

Practice address

2700 Healing Way
Suite 320
Wesley Chapel, FL 33543-5453

Phone

(813) 779-6303

Fax

(888) 977-1998

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Pioneer Medical Group, PL

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1710315775

  Family Medicine

  Medicare reassignment NPD
• Family Medical Offices of Dr. Chenchugalla, M.D., PC

  • Primary Care Clinic/Center
  • Adelphi, MD
  • NPI 1154571321
  NPD (past) Authorized official
• Bayne Jones Army Community Hospital

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1831586312
  NPD (past)
• Inpatient Specialists PA

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1700858586
  NPD (past)
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1508982273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY",
            "address_2": "SUITE 320",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435453",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY",
            "address_2": "SUITE 320",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435453",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENCHUGALLA",
        "first_name": "MANOHAR",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME114742",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022479100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Capital Investments
• Sheena Chatha, MD
• Chatmorellc
• Alyssa Chavez
• Bakht Sultan Cheema, M. D.
• Sandeep Chennadi, M.D.
• Leslie Cherian, DO
• Binu Cheriyan
• Cheryl L Roberson MD PA
• Doris Shukkwan Cheung

• Hospitalist Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.