Midwest Gastroenterology Clinics PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-26630 Issued in KS

Legal business name

MIDWEST GASTROENTEROLOGY CLINICS PA

Practice address

2160 W 21St St N
Wichita, KS 67203-2138

Phone

(316) 267-7175

Fax

(316) 267-9093

NPI assigned

Feb 4, 2010

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raghu C Chaparala, MDNPI 1003852047

Title

Owner

Phone

(316) 267-7175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ragu c chaparala Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raghu C Chaparala, M.D.

  • Gastroenterology Physician
  • Wichita, KS
  • NPI 1003852047
  Authorized official Same address or phone

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1922330794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3211",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672013211",
            "telephone_number": "316-267-7175",
            "fax_number": "316-267-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032138",
            "telephone_number": "316-267-7175",
            "fax_number": "316-267-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST GASTROENTEROLOGY CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "CHAPARALA",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-267-7175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-26630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100284260D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ragu c chaparala",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Wichita, KS
• Providers in Wichita, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.