Kishore K Challa (NPI# 1043377062, PAC ID# 0840285953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1043377062 |
| PAC ID by PECOS | 0840285953 |
| Professional Enrollment ID | I20040419000219 |
| Full Name | Kishore K Challa |
| Organization Legal Name | SOUTH CHARLESTON CARDIOLOGY ASSOCIATES |
| Address |
4607 Maccorkle Ave Sw Suite 300 South Charleston WV 25309-1364 |
| Phone Number | 3047663688 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1759376916 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510029 | THOMAS MEMORIAL HOSPITAL |
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510070 | RALEIGH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 Morris St, Charleston, WV 25301-1326 | CHARLESTON AREA MEDICAL CENTER, INC. | |
| 501 Morris St, Fl 2, Charleston, WV 25301-1326 | 3043886301 | CHARLESTON AREA MEDICAL CENTER, INC. |
| 800 Pennsylvania Ave, Charleston, WV 25302-3351 | CHARLESTON AREA MEDICAL CENTER, INC. | |
| 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 | 3047663688 | SOUTH CHARLESTON CARDIOLOGY ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 6% |
| Organization Legal Name | SOUTH CHARLESTON CARDIOLOGY ASSOCIATES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina L Quijano | Nurse Practitioner | South Charleston Cardiology Associates | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 |
| Sharon G. Lake | Nurse Practitioner | South Charleston Cardiology Associates | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 |
| Mohammad B Yousaf | Cardiovascular Disease (cardiology) | South Charleston Cardiology Associates | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 |
| Frances Nicole Pauley | Physician Assistant | South Charleston Cardiology Associates | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 |
| Street Address |
4607 MACCORKLE AVE SW SUITE 300 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip | 25309-1364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Paul Rice | Nurse Practitioner | Kanawha Valley Gastroenterology Associates Inc | 4607 Maccorkle Ave Sw, Suite 406, South Charleston, WV 25309-1364 |
| Emily Hamrick Battle | Gastroenterology | Kanawha Valley Gastroenterology Associates Inc | 4607 Maccorkle Ave Sw, Suite 406, South Charleston, WV 25309-1364 |
| Andrea Hill | Obstetrics/gynecology | Charleston Obstetrics and Gynecology Associates Pllc | 4607 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25309-1364 |
| Gina L Quijano | Nurse Practitioner | South Charleston Cardiology Associates | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 |
| Kimberly Bush-uy | Obstetrics/gynecology | Charleston Obstetrics and Gynecology Associates Pllc | 4607 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25309-1364 |
| David W Ranson | General Surgery | 4607 Maccorkle Ave Sw, Suite 306, South Charleston, WV 25309-1364 | |
| Cheryl A Cox | Gastroenterology | Kanawha Valley Gastroenterology Associates Inc | 4607 Maccorkle Ave Sw, Suite 406, South Charleston, WV 25309-1364 |
| Bassam N Shamma | Obstetrics/gynecology | 4607 Maccorkle Ave Sw, Suite 301, S Charleston, WV 25309-1364 | |
| Ramona Ann Davidson Dagostine | Obstetrics/gynecology | Charleston Obstetrics and Gynecology Associates Pllc | 4607 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25309-1364 |
| Sharon G. Lake | Nurse Practitioner | South Charleston Cardiology Associates | 4607 Maccorkle Ave Sw, Suite 300, South Charleston, WV 25309-1364 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Dale Walker | Nurse Practitioner | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Michael S Dewitt | Family Medicine | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Amy Marie Combs | Physician Assistant | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Gregory Thomas Lagos | Dermatology | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Megan C Evans | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Derek L. Ramsey | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Randi Linn Dillon | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Jacqueline Moore | Physician Assistant | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Michelle Leigh Endicott | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Todd V Kreitzer | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Find all physicians in zip 25309 | |||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SOUTH CHARLESTON + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Kishore K Challa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.