Individual provider Active NPI

Chandra Sekhar Yangalasetty, MD

  • Pediatrics Physician
  • Roswell, NM
National Provider Identifier
1740449396
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2011-0534 Issued in NM
Practice address
200 W Wilshire, Suite a
La Casa Family Health Center/Los Ninos Pediatrics
Roswell, NM 88201
Phone
(575) 622-5956
Fax
(575) 622-4059
NPI assigned
Jun 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11251 ND
Pediatrics Physician 208000000X MD2011-0534 NM Primary

Addresses

Primary practice location

200 W Wilshire, Suite a
La Casa Family Health Center/Los Ninos Pediatrics
Roswell, NM 88201

Mailing address

PO Box 843
Portales, NM 88130-0843
Phone (575) 356-6695

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111028000450 NM Practitioner - Pediatric Medicine 6608922075 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2011-0534NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince May 1, 2017 Accepting new patients
Roswell Clinic Corp CurrentSince May 1, 2017 Accepting new patients
La Casa de Buena Salud Inc. CurrentSince Sep 1, 2011 Accepting new patients
La Casa de Buena Salud Inc CurrentSince Sep 1, 2011 Accepting new patients
La Casa de Buena Salud Inc PastSince Jun 8, 2025 Accepting new patients
La Casa de Buena Salud Inc Past Accepting new patients
Lovelace Health System LLC Past Accepting new patients

Locations

1515 W Fir St
Portales, NM 88130
Phone (505) 356-6695

200 W Wilshire Blvd
Ste A
Roswell, NM 88201
Phone (575) 622-5956

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Interoperability endpoints

  • Direct secure messaging: cyangalasetty11963@ahs.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1740449396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300843",
            "telephone_number": "575-356-6695",
            "fax_number": "575-356-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WILSHIRE, SUITE A",
            "address_2": "LA CASA FAMILY HEALTH CENTER/LOS NINOS PEDIATRICS",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-622-5956",
            "fax_number": "575-622-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANGALASETTY",
        "first_name": "CHANDRA SEKHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-07",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "11251",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2011-0534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.