Individual provider Active NPI

Gopal Chandrasekharan, M.D.

  • Pediatrics Physician
  • Bartlesville, OK
National Provider Identifier
1932426764
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27870 Issued in OK
Practice address
3400 E Frank Phillips Blvd Ste 302
Bartlesville, OK 74006-2439
Phone
(918) 331-2468
Fax
(918) 331-2469
NPI assigned
May 4, 2010
Last updated
Jan 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27870 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd Ste 302
Bartlesville, OK 74006-2439

Mailing address

351 County Road 3550
Bartlesville, OK 74003-9518

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27870OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics of Bartlesville Pediatrics Past Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gopal.chandrasekharan.1@8867.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8867/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1932426764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 COUNTY ROAD 3550",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740039518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 302",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062439",
            "telephone_number": "918-331-2468",
            "fax_number": "918-331-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKHARAN",
        "first_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "27870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2015; 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.