Individual provider Active NPI

Chethan Byadgi, MD

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1063537215
Registry record updated Feb 11, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
243084-1 Issued in NY
Practice address
1831 Pittston Ave
Left Building
Scranton, PA 18505-1651
Phone
(570) 507-9517
Fax
(570) 507-9520
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 243084-1 NY Primary

Addresses

Primary practice location

1831 Pittston Ave
Left Building
Scranton, PA 18505-1651

Mailing address

1831 Pittston Ave
Left Building
Scranton, PA 18505-1651
Phone (570) 507-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
243084-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest New Jersey Urgent Care Alliance PC Past Accepting new patients
Horizon Medical Group, P.C. PastSince Aug 17, 2025 Accepting new patients
Horizon Medical Group, P.C. Internal Medicine PastSince Nov 3, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1063537215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 PITTSTON AVE",
            "address_2": "LEFT BUILDING",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051651",
            "telephone_number": "570-507-9517",
            "fax_number": "570-507-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 PITTSTON AVE",
            "address_2": "LEFT BUILDING",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051651",
            "telephone_number": "570-507-9517",
            "fax_number": "570-507-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYADGI",
        "first_name": "CHETHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243084-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.