Active NPI
Kalyan Chakrala, D.O.
- Gastroenterology Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- N5612
- Practice address
- 540 W 5TH St Ste 300
Odessa, TX 79761 - Phone
- (432) 640-3007
- Fax
- (432) 640-2708
- NPI assigned
- Mar 9, 2010
- Last updated
- Sep 14, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | N5612 | TX | Primary |
Addresses
Primary practice location
540 W 5TH St Ste 300
Odessa, TX 79761
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-3007
Other practice location 1
701 W 5th St
Odessa, TX 79763
Phone (432) 703-5507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335941602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2408
Hospital & facility affiliations
- Medical Center Hospital
- Odessa Regional Medical Center
- Ward Memorial Hospital
- Reeves Regional Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.78 of 100
- Quality
- 60.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 61 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCH Professional Care | Gastroenterology | Current | Accepting new patients |
Locations
315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
540 W 5th St
Ste 300
Odessa, TX 79761
Phone (432) 337-5411
Organizations & group practices 1
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.
-
dba MCH ProCare
- Multi-Specialty Clinic/Center
- Odessa, TX
- NPI 1649391269
Gastroenterology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ward Memorial Hospital ER Group
- Emergency Medicine Physician
- Monahans, TX
- NPI 1881782423
Hospital
-
dba MCH Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
dba Medical Center Hospital
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
dba Odessa Regional Medical Center
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
-
dba Reeves Regional Health
- Critical Access Hospital
- Pecos, TX
- NPI 1831170273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1942523626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2129",
"city": "ODESSA",
"state": "TX",
"postal_code": "797602129",
"telephone_number": "432-640-3007",
"fax_number": "432-640-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W 5TH ST STE 300",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-640-3007",
"fax_number": "432-640-2708"
}
],
"practiceLocations": [
{
"address_1": "701 W 5th St",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "79763",
"country_code": "US",
"telephone_number": "432-703-5507",
"fax_number": "432-335-1788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAKRALA",
"first_name": "KALYAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "N5612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335941602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.