Milan S Chakrabarty MD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MILAN S CHAKRABARTY MD

Practice address

1003 E Florida Ave
# 104
Hemet, CA 92543-4510

Phone

(951) 652-2252

Fax

(951) 652-3173

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Milan S Chakrabarty, MD

Title

Owner

Phone

(951) 652-2252

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Hemet EndoscopyCCN 05C0001244

Medicare certification status

Terminated Involuntary: failure to meet health/safety requirements, Sep 25, 2019From the Provider of Services file

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1053412189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5160",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925440160",
            "telephone_number": "951-929-6260",
            "fax_number": "951-765-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E FLORIDA AVE",
            "address_2": "# 104",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434510",
            "telephone_number": "951-652-2252",
            "fax_number": "951-652-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN S CHAKRABARTY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "CHAKRABARTY",
        "authorized_official_first_name": "MILAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-652-2252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ37688Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Air Service Inc
• Marjorie S Meza
• Virginia Meza
• Mfi Recovery Center
• Michael T Bell, a Chiropractic Corporation
• Milan S. Chakrabarty M.D. Inc
• Miles and Jane Inc
• Allan Gay Milew, O.D.
• Amy Marie Miller, O.D.
• Jean Miller, D.D.S.

• Ambulatory Surgical Clinic/Center in Hemet, CA
• Providers in Hemet, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.