Dr Kishore K Challa, MD, FACC is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in So Charleston, West Virginia. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice South Charleston Cardiology Associates, Ths Physician Partners Inc and his current practice location is
4607 Maccorkle Avenue Sw, Suite 300, So Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 766-3688.
Dr Kishore K Challa is licensed to practice in West Virginia (license number 15721) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043377062.
Physician's Profile
Full Name | Dr Kishore K Challa |
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Gender | Male |
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Speciality | Interventional Cardiology |
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Experience | 42 Years |
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Location | 4607 Maccorkle Avenue Sw, So Charleston, West Virginia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kishore K Challa graduated from medical school in 1982
NPI Data:
- NPI Number: 1043377062
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840285953
- Enrollment ID: I20040419000219
Medical Identifiers
Medical identifiers for Dr Kishore K Challa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043377062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 15721 (West Virginia) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 15721 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
South Charleston Cardiology Associates | 1759376916 | 4 |
Ths Physician Partners Inc | 9537316393 | 141 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kishore K Challa allows following entities to bill medicare on his behalf.
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
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Entity Name | South Charleston Cardiology Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770706772 PECOS PAC ID: 1759376916 Enrollment ID: O20040416001238 |
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Entity Name | Ths Physician Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kishore K Challa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kishore K Challa, MD, FACC 4607 Maccorkle Avenue Sw, Suite 300, South Charleston, WV 25309-1364 Ph: (304) 766-3688 | Dr Kishore K Challa, MD, FACC 4607 Maccorkle Avenue Sw, Suite 300, So Charleston, WV 25309-1364 Ph: (304) 766-3688 |
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