NPIMap

Organization Active NPI

Vittal V Chapa MD SC

  • Primary Care Clinic/Center
  • Virden, IL
National Provider Identifier
1659685329
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036052159 Issued in IL
Legal business name
VITTAL V CHAPA MD SC
Practice address
138 E Dean St
Virden, IL 62690-1446
Phone
(217) 965-5481
Fax
(217) 965-5640
NPI assigned
Aug 4, 2010
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Vittal Venkata Chapa, MDNPI 1003805151
Title
President
Phone
(217) 965-5481

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
Primary Care Clinic/Center 261QP2300X 036052159 IL Primary

Addresses

Primary practice location

138 E Dean St
Virden, IL 62690-1446

Mailing address

138 E Dean St
Virden, IL 62690-1446
Phone (217) 965-5481

National Provider Directory

National Provider Directory

Locations

138 E Dean St
Virden, IL 62690
Phone (217) 965-5481

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": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1659685329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E DEAN ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901446",
            "telephone_number": "217-965-5481",
            "fax_number": "217-965-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E DEAN ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901446",
            "telephone_number": "217-965-5481",
            "fax_number": "217-965-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITTAL V CHAPA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "VITTAL",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-965-5481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036052159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virden, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.