Active NPI
Priyank Chauhan, MD
- Geriatric Medicine (Internal Medicine) Physician
- Leitchfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 56737
- Practice address
- 912 Wallace Ave Ste 102
Leitchfield, KY 42754-2405 - Phone
- (270) 259-8888
- Fax
- (270) 259-8887
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56737 | KY | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 56737 | KY | Primary |
Addresses
Primary practice location
912 Wallace Ave Ste 102
Leitchfield, KY 42754-2405
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 417-4711
Other practice location 2
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-4700
Other practice location 3
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (207) 259-9555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pchauhan117182@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220914003080 | KY | Practitioner - Geriatric Medicine | 2163776113 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
912 Wallace Ave
Suite 102
Leitchfield, KY 42754-2405
Phone (270) 259-8888
Hospital & facility affiliations
- Twin Lakes Home Health
- Centerwell Home Health
- Owensboro Health Twin Lakes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56737 | KY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Owensboro Health Twin Lakes Regional Medical Center, Inc | Past | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Locations
912 Wallace Ave
Ste 102
Leitchfield, KY 42754
Phone (270) 259-2878
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Internal Medicine
-
- Clinical Medical Laboratory
- Madisonville, KY
- NPI 1043343536
-
- Rural Health Clinic/Center
- Beaver Dam, KY
- NPI 1194161984
-
- Clinical Medical Laboratory
- Henderson, KY
- NPI 1609374693
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1124407069
Internal Medicine
-
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Elizabethtown, KY
- NPI 1598748600
-
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
Hospital
-
- Home Health Agency
- Leitchfield, KY
- NPI 1902130446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1093200602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 WALLACE AVE STE 102",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427542405",
"telephone_number": "270-259-8888",
"fax_number": "270-259-8887"
}
],
"practiceLocations": [
{
"address_1": "440 Hopkinsville St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "KY",
"postal_code": "423451124",
"country_code": "US",
"telephone_number": "270-417-4711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "270-417-4700",
"fax_number": "270-417-4709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 Wallace Ave",
"address_purpose": "LOCATION",
"city": "Leitchfield",
"state": "KY",
"postal_code": "427542414",
"country_code": "US",
"telephone_number": "207-259-9555",
"fax_number": "270-259-1669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAUHAN",
"first_name": "PRIYANK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "56737",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "KY",
"license": "56737",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pchauhan117182@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "912 Wallace Ave Ste 102",
"city": "Leitchfield",
"state": "KY",
"country_code": "US",
"postal_code": "427542405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.