PANDURANG P CHILLAL (NPI# 1407968753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407968753 |
| Entity Type | Individual |
| Full Name | PANDURANG P CHILLAL |
| Credential | M.D. |
| Practice Address |
12140 Nall Ave Ste 100 Overland Park KS 66209-2504 |
| Practice Telephone | 8169430706 |
| Practice Fax Number | 9134511754 |
| Mailing Telephone | 8169430706 |
| Mailing Fax Number | 9134511754 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 04-21994 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AC8444957 | 01 | |
| KS | 100207060A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Ne St. Luke's Blvd., Suite 350, Lee's Summit, MO 64086 | 8169430706 | 8165244325 |
| Street Address |
12140 NALL AVE STE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619962495 | Peter F Alfano | Physician Assistant | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2005-09-16 |
| 1184016529 | Christopher Pelton | Nurse Practitioner | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2015-02-23 |
| 1861726051 | Cynthia Hill | Nurse Practitioner | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2009-09-22 |
| 1447488671 | Adam Maghrabi | Internal Medicine | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2009-06-25 |
| 1376715557 | Ariana Milling Hisaw | Physician Assistant | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2008-03-28 |
| 1164413167 | Theodore M. Whitaker | Internal Medicine | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2005-10-31 |
| 1912998998 | Amir Hemaya | Internal Medicine | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2005-10-31 |
| 1508857509 | David A Wilt | Internal Medicine | 12140 Nall Ave Ste 100, Overland Park, KS 66209-2504 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333818 | Kyle Timmerman | Internal Medicine | 10504 Cody St Apt 98, Overland Park, KS 66214-2734 | 2017-05-23 |
| 1215469457 | Syeda Mausumee Hussain | Internal Medicine | 11336 W 121st Ter, Overland Park, KS 66213-1978 | 2017-03-28 |
| 1245686625 | Liveactive Primary Care, LLC | Internal Medicine | 6650 W 110th St Ste 220, Overland Park, KS 66211-1501 | 2016-05-04 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1235572413 | Thomas Alonzo Cuevas | Internal Medicine | 8249 W 95th St Ste 105, Overland Park, KS 66212-3200 | 2013-04-08 |
| 1528320272 | Sumalatha Muthineni | Internal Medicine | Kc Hospitalists, 5701 W 119th St, Overland Park, KS 66209 | 2012-06-08 |
| 1497017149 | Paul Piezas Pena | Internal Medicine | 10787 Nall Ave Ste 310, Medical Plaza Internal Medicine, Overland Park, KS 66211-1301 | 2012-06-08 |
| 1699031971 | Charles Merrill Stiles | Internal Medicine | 13810 Metcalf Ave, Suite 12219, Overland Park, KS 66223-7810 | 2012-04-11 |
| 1063786242 | Billy Waddell | Internal Medicine | 9134 W 102 Ter, Overland Park, KS 66212-4206 | 2012-03-06 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.