Individual provider Active NPI

Chithranjan Nath, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fishkill, NY
National Provider Identifier
1053456855
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
199327 Issued in NY
Practice address
400 Westage Business Ctr Dr Ste 205
Fishkill, NY 12524-2266
Phone
(845) 896-0008
NPI assigned
Feb 20, 2007
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 199327 NY Primary

Addresses

Primary practice location

400 Westage Business Ctr Dr Ste 205
Fishkill, NY 12524-2266

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 437-5060

Other identifiers 1

IdentifierTypeStateIssuer
01620680MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050121000235 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 2668421413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 Westchester Ave
Suite 101
White Plains, NY 10604-2923
Phone (914) 946-1010

243 N Rd
Poughkeepsie, NY 12601-1173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199327NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. Endocrinology, Diabetes & Metabolism CurrentSince Jan 2, 2022 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jan 2, 2022 Accepting new patients
Docs Physicians Affiliated With Bimc Past Accepting new patients

Locations

400 Westage Business Ctr Dr
Ste 205
Fishkill, NY 12524
Phone (845) 231-0321

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cnath@premiermedicalhv.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1053456855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-437-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUSINESS CTR DR STE 205",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242266",
            "telephone_number": "845-896-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATH",
        "first_name": "CHITHRANJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "199327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01620680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.