Individual provider Active NPI

Brite John Chalunkal, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Yonkers, NY
National Provider Identifier
1790917797
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P8767 Issued in TX
Practice address
123 Kingston Ave
Yonkers, NY 10701-5127
Phone
(914) 525-4822
NPI assigned
Aug 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X P8767 TX Primary

Addresses

Primary practice location

123 Kingston Ave
Yonkers, NY 10701-5127

Mailing address

123 Kingston Ave
Yonkers, NY 10701-5127
Phone (914) 968-6101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bchalunkal222579@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140703001448 TX Practitioner - Physical Medicine and Rehabilitation 8022233139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

7300 Eldorado Pkwy
Suite 255
McKinney, TX 75070-9194
Phone (469) 995-7957

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8767TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Physical Medicine & Rehabilitation CurrentSince Jul 28, 2014 Accepting new patients
Texas Spine Physicians Physical Medicine & Rehabilitation CurrentSince Jul 1, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 28, 2014 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8000 Eldorado Pkwy
Bldg C
McKinney, TX 75070
Phone (469) 678-7198

5236 W University Dr
Ste 2000
McKinney, TX 75071
Phone (469) 800-5036

7300 Eldorado Pkwy
Ste 255
McKinney, TX 75070
Phone (469) 995-7957

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: texasspinephysicianspa.britechalunkal@156100.advancedmd-direct.com
  • Direct secure messaging: brite.chalunkal.1@16194.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1790917797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 KINGSTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015127",
            "telephone_number": "914-968-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 KINGSTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015127",
            "telephone_number": "914-525-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALUNKAL",
        "first_name": "BRITE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bchalunkal222579@direct.sw.org",
            "affiliation": "N",
            "address_1": "5236 W University Dr Ste 2000",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.