Individual provider Active NPI

Priyank Chauhan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Leitchfield, KY
National Provider Identifier
1093200602
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
56737 Issued in KY
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

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914003080 KY Practitioner - Geriatric MedicinePractitioner - Internal 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 455 clinicians

Practice addresses (Care Compare)

912 Wallace Ave
Suite 102
Leitchfield, KY 42754-2405
Phone (270) 259-8888

Hospital & facility affiliations

  • Twin Lakes Home Health Home health agency, Leitchfield, KY, CCN 187106
  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56737KYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Dec 27, 2024 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.