Organization Active NPI

Chelamkuri Professional Corporation

  • Family Medicine Physician
  • Saratoga, CA
National Provider Identifier
1598299265
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A111532 Issued in CA
Legal business name
CHELAMKURI PROFESSIONAL CORPORATION
Practice address
19155 Camino Barco
Saratoga, CA 95070-5617
Phone
(585) 208-7373
Fax
(248) 494-7440
NPI assigned
Apr 19, 2017
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Satya V Chelamkuri, MDNPI 1063672244
Title
MD
Phone
(585) 208-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A111532 CA Primary

Addresses

Primary practice location

19155 Camino Barco
Saratoga, CA 95070-5617

Mailing address

19155 Camino Barco
Saratoga, CA 95070-5617
Phone (585) 208-7373

Other identifiers 1

IdentifierTypeStateIssuer
1063672244MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170614002360 CA Part B Supplier - Clinic/Group Practice 8123396272 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1598299265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19155 CAMINO BARCO",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705617",
            "telephone_number": "585-208-7373",
            "fax_number": "248-494-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19155 CAMINO BARCO",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705617",
            "telephone_number": "585-208-7373",
            "fax_number": "248-494-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELAMKURI PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "CHELAMKURI",
        "authorized_official_first_name": "SATYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "585-208-7373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A111532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063672244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.