Individual ProviderNaga ChadalapakaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address530 S Jackson St Fl 2, Louisville, KY 40202-1675(502) 562-3000PECOS EnrollmentBased on the most recent information from CMS, provider Naga Chadalapaka is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1750764601Provider TypeIndividualFull NameChadalapaka, NagaCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/9/2015Last Updated7/20/2021Contact InformationPractice LocationPractice Address530 S Jackson St Fl 2, Louisville, KY 40202-1675Phone(502) 562-3000FaxUnlisted FaxMailing LocationMailing AddressPO Box 909, Louisville, KY 40201-0909Phone(502) 562-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseTP247KentuckyCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense263876Massachusetts