NPIMap

Organization Active NPI

Kshemal P Mankodi MD PA

Doing business as Chapel Primary Care

  • Family Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1588932966
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME78449 Issued in FL
Legal business name
KSHEMAL P MANKODI MD PA
Doing business as
Chapel Primary Care
Practice address
28959 Wesley Chapel Blvd
Wesley Chapel, FL 33543-3218
Phone
(813) 994-4749
Fax
(813) 994-0474
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Kshemal Mankodi, M.D.NPI 1447292172
Title
President
Phone
(813) 994-4749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME78449 FL Primary

Addresses

Primary practice location

28959 Wesley Chapel Blvd
Wesley Chapel, FL 33543-3218

Mailing address

28959 Wesley Chapel Blvd
Wesley Chapel, FL 33543-3218
Phone (813) 994-4749

Other identifiers 1

IdentifierTypeStateIssuer
257244300MedicaidFL

Other names 1

  • Chapel Primary Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1588932966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28959 WESLEY CHAPEL BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433218",
            "telephone_number": "813-994-4749",
            "fax_number": "813-994-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28959 WESLEY CHAPEL BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433218",
            "telephone_number": "813-994-4749",
            "fax_number": "813-994-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSHEMAL P MANKODI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "MANKODI",
        "authorized_official_first_name": "KSHEMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-994-4749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME78449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257244300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.