CHAITANYA BUKKAPATNAM (MD, MBA) – General Practice Physician, NPI 1093208647

CHAITANYA BUKKAPATNAM (MD, MBA) is a healthcare provider. based in Canal winchester, Ohio. specializing in GENERAL PRACTICE. They hold the professional credentials MD, MBA. They hold a License No. 72815-20 (WI). The NPI Number for CHAITANYA BUKKAPATNAM (MD, MBA) is 1093208647

Main info

Male
Sole Proprietor
8 Years Of Experience
Name
CHAITANYA BUKKAPATNAM (MD, MBA)
NPI
1093208647
Phone
(614) 321-2581
Address
710 W Waterloo St
Enumeration Date
8 June 2018
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9372280579
Graduation Year
2018 (8 years ago)
PAC ID
8022365238
Group Practice PAC ID
1052595402
Professional Enrollment ID
I20221104001769
Address ID
OH454201833DA2611XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:8State licenses:3Digital endpointsOther names

150 GENERAL PRACTICE in OH

Provider Addresses for CHAITANYA BUKKAPATNAM (MD, MBA)

  • 710 W Waterloo St

    Canal Winchester, OH 431101092

    Phone: (614) 321-2581

    Type: Location

  • 7709 Hoke Rd

    Englewood, OH 453159725

    Phone: (937) 809-2940

    Type: Location

  • 3813 S Hamilton Rd

    Groveport, OH 431259330

    Phone: (614) 835-0400

    Type: Location

  • 4300 Clime Rd Ste 110

    Columbus, OH 432286491

    Phone: (614) 272-1100

    Type: Location

  • University Hospital Outpatient Pharmacy, 600, Highland Avenue, Madison, Dane County, Wisconsin, 53705-2221, United States

    MADISON, WI 537920001

    Phone: (608) 263-6400

    Type: Mailing

  • 7540 RAVENS NEST CT

    COLUMBUS, OH 432351783

    Phone: (614) 670-2609

    Type: Mailing

  • 881 E MAIN ST

    COLUMBUS, OH 432051713

    Phone: (614) 253-8537

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,242.

Total Amount is formed as General ($1,242) + Research ($0) + Ownership ($0) = $1,242.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($550).

Total Amount

$1,242

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,242

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221104001769IGeneral PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 43110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052595402View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical PsychologistOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
-OH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

What is the standard ID for CHAITANYA BUKKAPATNAM (MD, MBA) in the U.S.?
In the U.S., CHAITANYA BUKKAPATNAM (MD, MBA) is identified by NPI 1093208647.
Quick check: is CHAITANYA BUKKAPATNAM (MD, MBA) active?
Public NPPES data shows CHAITANYA BUKKAPATNAM (MD, MBA) with an active NPI status right now.
What type of care does CHAITANYA BUKKAPATNAM (MD, MBA) provide?
CHAITANYA BUKKAPATNAM (MD, MBA)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CHAITANYA BUKKAPATNAM (MD, MBA)?
The directory associates CHAITANYA BUKKAPATNAM (MD, MBA) with Canal Winchester, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for CHAITANYA BUKKAPATNAM (MD, MBA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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