Individual provider Active NPI

Chakrapani Irri, M.D.

  • Pediatrics Physician
  • Auburn, NY
National Provider Identifier
1972563302
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
209760 Issued in NY
Practice address
37 W. Garden Street
Suite 203
Auburn, NY 13021-1302
Phone
(315) 253-6257
Fax
(315) 253-8693
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 209760 NY Primary

Addresses

Primary practice location

37 W. Garden Street
Suite 203
Auburn, NY 13021-1302

Mailing address

17 Lansing Street
Attn: C. McLoud
Auburn, NY 13021
Phone (315) 567-0455

Other identifiers 1

IdentifierTypeStateIssuer
01769713MedicaidNY

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
209760NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC Pediatrics CurrentSince Nov 8, 2020 Accepting new patients
Auburn Community Hospital Past Accepting new patients
Auburn Memorial Medical Services, PC PastSince Nov 8, 2020 Accepting new patients

Locations

37 W Garden St
Ste 201
Auburn, NY 13021
Phone (315) 567-0777

37 W Garden St
Ste 203
Auburn, NY 13021
Phone (315) 253-6257

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

17 Lansing St
#C
Auburn, NY 13021
Phone (315) 567-0455

Interoperability endpoints

  • Direct secure messaging: drirri@amms.medentdirect.com
  • Direct secure messaging: cirri@hiemail.healtheconnections.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1972563302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING STREET",
            "address_2": "ATTN: C. MCLOUD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-567-0455",
            "fax_number": "315-253-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W. GARDEN STREET",
            "address_2": "SUITE 203",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211302",
            "telephone_number": "315-253-6257",
            "fax_number": "315-253-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRRI",
        "first_name": "CHAKRAPANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01769713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.