Chandrasekhar Kommu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

101241704 Issued in VA

Practice address

493 Blackwell Rd
Suite 202
Warrenton, VA 20186-2639

Phone

(540) 347-4400

Fax

(540) 341-2194

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1336131010
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1891797882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "SUITE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862639",
            "telephone_number": "540-347-4400",
            "fax_number": "540-341-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "SUITE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862639",
            "telephone_number": "540-347-4400",
            "fax_number": "540-341-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMU",
        "first_name": "CHANDRASEKHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "101241704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Klemann, D.D.S.
• Daniel W Kneip, LCSW
• Margaret Marie Kober, R.PH., M.P.A.
• Michael G. Koerner, DDS
• Anupama T Kommu, PSYD
• Michael C Kramm, MS, CTP, CGP
• Joseph Lee Krofcheck, M.D.
• Benjamin Kwak, OD
• Linda L Land, CRNA
• Jessica Anne Landrum-Webb, NP-C

• Family Medicine Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.