NPI Details
Dan Chaksupa, MD is an internal medicine in Raleigh, NC with 24 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Dan Chaksupa, MD NPI is 1992819676. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002
The provider's business location address is:
3521 HAWORTH DR
RALEIGH, NC
ZIP 27609-244
Phone: (919) 782-1669
Fax: (919) 782-4756
The NPI 1992819676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, denosumab, 1 mg (HCPCS:J0897)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
- Fee covid-19 vac 14 res (HCPCS:0134A)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
- Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
The enumeration date for this NPI number is 8/18/2006 and was last updated on 3/8/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 2005-01602 | NORTH CAROLINA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 5902990 | MEDICAID | NORTH CAROLINA | |
| 2 | 230575 | MEDICARE PIN | NORTH CAROLINA | |
| 3 | 2051051 | MEDICARE ID-TYPE UNSPECIFIED | NORTH CAROLINA | |
| 4 | 2051051E | MEDICARE PIN | | |
| 5 | I50509 | MEDICARE UPIN | NORTH CAROLINA | |