Active NPI
Gopal Chandrasekharan, M.D.
- Pediatrics Physician
- Bartlesville, OK
National Provider Identifier
1932426764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27870
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27870 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics of Bartlesville | Pediatrics | Past | Accepting new patients |
| Jane Phillips Memorial Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- gopal.chandrasekharan.1@8867.direct.athenahealth.com
- 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.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Pediatrics Physician
- Bartlesville, OK
- NPI 1164545216
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.