NPIMap

Individual provider Active NPI

Jambur Eriah Chandrashekar, M.D.

  • Internal Medicine Physician
  • Indio, CA
National Provider Identifier
1013098557
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A33785 Issued in CA
Practice address
81719 Dr. Carreon Blvd
Ste a
Indio, CA 92201
Phone
(760) 347-0707
Fax
(760) 347-3378
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A33785 CA
Internal Medicine Physician 207R00000X A33785 CA Primary

Addresses

Primary practice location

81719 Dr. Carreon Blvd
Ste a
Indio, CA 92201

Mailing address

81719 Dr. Carreon Blvd
Ste 2a
Indio, CA 92201-5518
Phone (760) 342-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000659 CA Practitioner - Internal MedicinePractitioner - Nephrology 2163486614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Comprehensive Medical Group Inc 4 clinicians
Coachella Valley Nephrology Inc 2 clinicians

Practice addresses (Care Compare)

81719 Dr Carreon Blvd
Suite a
Indio, CA 92201-5518
Phone (760) 347-0707

Hospital & facility affiliations

  • Kidney Institute of the Desert Dialysis facility, Indio, CA, CCN 052658
  • Coachella Kidney Institute, LLC Dialysis facility, Coachella, CA, CCN 552722
  • La Quinta Kidney Center, LLC Dialysis facility, La Quinta, CA, CCN 552673
  • Valley Care Home Health, Inc. Home health agency, Palm Desert, CA, CCN 059411
  • Care Dimensions of the Desert Home health agency, Palm Desert, CA, CCN 059697
  • Golden Palms Home Health Care Inc. Home health agency, Rancho Mirage, CA, CCN 757586
  • John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • Palo Verde Hospital Hospital, Blythe, CA, CCN 051339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33785CAMDPsychologist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Coachella Kidney Institute, LLC PastSince May 1, 2012 Accepting new patients
La Quinta Kidney Center LLC PastSince Apr 30, 2003 Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Kidney Institute at Emc LLC PastSince Mar 28, 2011 Accepting new patients
Kidney Institute of the Desert LLC PastSince Jun 30, 2004 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1013098557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81719 DR. CARREON BLVD",
            "address_2": "STE 2A",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015518",
            "telephone_number": "760-342-8898",
            "fax_number": "760-342-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81719 DR. CARREON BLVD",
            "address_2": "STE A",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-0707",
            "fax_number": "760-347-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASHEKAR",
        "first_name": "JAMBUR",
        "middle_name": "ERIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A33785",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.