Ritu Chandra, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD26862 Issued in AL

Practice address

3700 S Railroad St
Suite a
Phenix City, AL 36867-2993

Phone

(334) 664-0463

Fax

(334) 664-0466

NPI assigned

Dec 5, 2005

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Enterprises PCGroup PAC ID 4486816048, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ritu.chandra@pccrm.eclinicaldirectplus.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fort Mitchell Clinic PC

  • Rural Health Clinic/Center
  • Fort Mitchell, AL
  • NPI 1568748242

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Opelika Pediatrics & Family Clinic PC

  • Clinic/Center
  • Opelika, AL
  • NPI 1306240502

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Enterprises PC

  dba Phenix City Childrens & Family Clinic

  • General Practice Physician
  • Phenix City, AL
  • NPI 1447374640

  Pediatrics

  Medicare reassignment Care Compare group NPD Authorized official
• Opelika Pediatrics & Family Clinic PC

  • Clinic/Center
  • Opelika, AL
  • NPI 1306240502

  Pediatrics

  NPD Authorized official
• Fort Mitchell Clinic PC

  • Rural Health Clinic/Center
  • Fort Mitchell, AL
  • NPI 1568748242

  Pediatrics

  NPD
• Russell County Community Hospital LLC

  dba Jack Hughston Memorial Hospital

  • General Acute Care Hospital
  • Phenix City, AL
  • NPI 1023050101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1003890849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST",
            "address_2": "SUITE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672993",
            "telephone_number": "334-664-0463",
            "fax_number": "334-664-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST",
            "address_2": "SUITE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672993",
            "telephone_number": "334-664-0463",
            "fax_number": "334-664-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "RITU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "26862",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD26862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940757",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Carlino
• Brian D Carlson, PSYD
• Robert Centeio, RN
• CFC2 LLC (Cornerstone Family Chiropractic)
• Myrtice Chambers
• Changing Lives, Inc.
• Chattahoochee Valley Family
• Chattahoochee Valley Home Health, LLC (Centerwell Home Health)
• Chimed Rehab Ficpc, PLLC
• Chimed Rehab Phenix City

• Pediatrics Physician in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.