Individual provider Active NPI

Chirag Trivedi, MD

  • General Practice Physician
  • Cincinnati, OH
National Provider Identifier
1013413020
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01084827A Issued in IN
Practice address
4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone
(513) 686-6860
Fax
(513) 686-6868
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 01084827A IN Primary

Addresses

Primary practice location

4777 E Galbraith Rd
Cincinnati, OH 45236-2725

Mailing address

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, CT, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230220001095 NH Practitioner - General Practice 3870965973 Reassigns benefits to 1 organization
I20230428002422 CT Practitioner - General Practice 3870965973 Reassigns benefits to 1 organization
I20241024003239 WA Practitioner - General Practice 3870965973 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01084827AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Apr 1, 2023 Accepting new patients

Locations

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1013413020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-6860",
            "fax_number": "513-686-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-6860",
            "fax_number": "513-686-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "CHIRAG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01084827A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.