Individual provider Active NPI

Fehmida A Chipty, M.D.

  • Gastroenterology Physician
  • Medford, MA
National Provider Identifier
1063423804
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
154707 Issued in MA
Practice address
92 High St
Medford, MA 02155-3850
Phone
(781) 391-8015
Fax
(781) 391-9119
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 154707 MA Primary

Addresses

Primary practice location

92 High St
Medford, MA 02155-3850

Mailing address

91 Montvale Ave
Stoneham, MA 02180-3623
Phone (781) 828-3533

Other identifiers 4

IdentifierTypeStateIssuer
303337OtherMAHARVARD PILGRIM HEALTH
3178889MedicaidMA
154707OtherMATUFTS HEALTH PLANS
J17934OtherMABLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110208000270 MA Practitioner - Gastroenterology 9931101482 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Associates P.C. Gastroenterology CurrentSince Jul 31, 2010 Accepting new patients
Dha Endoscopy LLC Past Accepting new patients
Dha Endoscopy LLC Gastroenterology Past Accepting new patients

Locations

91 Montvale Ave
Ste 206
Stoneham, MA 02180
Phone (781) 518-9053

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

91 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-1952

Interoperability endpoints

  • Direct secure messaging: fehmidachipty@digestiveh.allscriptsdirect.net

Organizations & group practices 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1063423804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-828-3533",
            "fax_number": "781-828-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553850",
            "telephone_number": "781-391-8015",
            "fax_number": "781-391-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPTY",
        "first_name": "FEHMIDA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "154707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "303337",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178889",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "154707",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "J17934",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.