CHANDRAGOWDA D KALLANAGOWDAR (MD) – Pediatric Adolescent Medicine Physician, NPI 1689637977
Pediatric Adolescent Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHANDRAGOWDA D KALLANAGOWDAR (MD)
2909 SE Walnut Dr
Topeka, KS 666052189
Phone: (785) 270-0047
Type: Location
2400 S Avenue A
Yuma, AZ 853647170
Phone: (928) 336-3213
Type: Location
1516 SW 6th Ave
Topeka, KS 666061696
Phone: (785) 270-0047
Type: Location
1102 Saint Marys Rd
Junction City, KS 664414139
Phone: (785) 238-0325
Type: Location
1110 Saint Marys Rd
Junction City, KS 664414176
Phone: (785) 762-2585
Type: Location
4505 NW Fielding Rd
Topeka, KS 666182651
Phone: (785) 270-0047
Type: Location
6725 SW 29th St
Topeka, KS 666145625
Phone: (785) 354-0517
Type: Location
Stormont Vail Health, 1500, Southwest 10th Avenue, Topeka, Shawnee County, Kansas, 66604, United States
TOPEKA, KS 666041301
Phone: (785) 354-5242
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110519000627 | I | Pediatric Medicine | KS | TBD |
| I20190612003741 | I | Hospitalist | AZ | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66605)
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