Individual provider Active NPI

Madhukar Chhatre, M.D.

  • Plastic Surgery Physician
  • Lee's Summit, MO
National Provider Identifier
1730157637
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
105416 Issued in MO
Practice address
3151 NE Carnegie Dr
Lees Summit, MO 64064-3222
Phone
(816) 347-0026
Fax
(816) 347-1804
NPI assigned
Mar 8, 2006
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 105416 MO Primary

Addresses

Primary practice location

3151 NE Carnegie Dr
Lees Summit, MO 64064-3222

Mailing address

3151 NE Carnegie Dr
Lees Summit, MO 64064-3222
Phone (816) 347-0026

Other identifiers 3

IdentifierTypeStateIssuer
206747917MedicaidMO
100147510BMedicaidKS
240007511OtherMORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060216000500 MO Practitioner - Plastic and Reconstructive Surgery 1658386354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1730157637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 NE CARNEGIE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643222",
            "telephone_number": "816-347-0026",
            "fax_number": "816-347-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 NE CARNEGIE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643222",
            "telephone_number": "816-347-0026",
            "fax_number": "816-347-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHATRE",
        "first_name": "MADHUKAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "105416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206747917",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100147510B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "240007511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.