Dr Kishore K Challa, MD, FACC - Medicare Interventional Cardiology in So Charleston, WV

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.

Contact Information

Dr Kishore K Challa, MD, FACC
4607 Maccorkle Avenue Sw, Suite 300,
So Charleston, WV 25309-1364
(304) 766-3688
(304) 766-3484



Physician's Profile

Full NameDr Kishore K Challa
GenderMale
SpecialityInterventional Cardiology
Experience42 Years
Location4607 Maccorkle Avenue Sw, So Charleston, West Virginia
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1043377062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 15721 (West Virginia)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 15721 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thomas Memorial HospitalSouth charleston, WVHospital
Charleston Area Medical CenterCharleston, WVHospital
West Virginia University HospitalsMorgantown, WVHospital
St Mary's Medical CenterHuntington, WVHospital
Montgomery General Hospital, IncMontgomery, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Charleston Cardiology Associates17593769165
Ths Physician Partners Inc9537316393135

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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 NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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Entity NameSouth Charleston Cardiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770706772
PECOS PAC ID: 1759376916
Enrollment ID: O20040416001238

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Entity NameThs Physician Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Internal Medicine Doctors in So Charleston, WV


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