Active NPI
Chandra Nataraj, M.D.
- Radiation Oncology Physician
- Hutchinson, KS
National Provider Identifier
1821158189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0422498
- Practice address
- 1701 E 23Rd Ave
Hutchinson, KS 67502-1105 - Phone
- (620) 665-2000
- Fax
- (620) 513-3811
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MA0381033 | NJ | |
| Radiation Oncology Physician | 2085R0001X | 0101046440 | VA | |
| Radiation Oncology Physician | 2085R0001X | 031422 | CT | |
| Radiation Oncology Physician | 2085R0001X | 145096 | NY | |
| Radiation Oncology Physician | 2085R0001X | D0041491 | MD | |
| Radiation Oncology Physician | 2085R0001X | 22498 | KS | |
| Radiation Oncology Physician | 2085R0001X | 0422498 | KS | Primary |
Addresses
Primary practice location
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Mailing address
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Phone (620) 665-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01185428 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031422 | CT | MD | Radiation Oncology Physician |
| 22498 | KS | MD | Radiation Oncology Physician |
| D0041491 | MD | MD | Radiation Oncology Physician |
| MA0381033 | NJ | MD | Radiation Oncology Physician |
| 145096 | NY | MD | Radiation Oncology Physician |
| 0101046440 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospitals Wichita Inc. | Radiation Oncology | Past | Accepting new patients |
| Downtown Bronx Medical Associates PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
Radiation Oncology
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1821158189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021105",
"telephone_number": "620-665-2000",
"fax_number": "620-513-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021105",
"telephone_number": "620-665-2000",
"fax_number": "620-513-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATARAJ",
"first_name": "CHANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "MA0381033",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101046440",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CT",
"license": "031422",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "145096",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0041491",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KS",
"license": "22498",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KS",
"license": "0422498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01185428",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.