Individual provider Active NPI

Chista Safajou, MD

  • Obstetrics & Gynecology Physician
  • Poughkeepsie, NY
National Provider Identifier
1093845547
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
240008 Issued in NY
Practice address
68 W Cedar St Ste 1
Poughkeepsie, NY 12601-1300
Phone
(845) 433-0101
Fax
(845) 433-0104
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 240008 NY Primary

Addresses

Primary practice location

68 W Cedar St Ste 1
Poughkeepsie, NY 12601-1300

Mailing address

68 W Cedar St Ste 1
Poughkeepsie, NY 12601-1300
Phone (845) 433-0101

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
I20140328000598 NY Practitioner - Obstetrics/Gynecology 4880825280 Reassigns benefits to 1 organization
Practice locations: Poughkeepsie, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

68 W Cedar St
Suite 1
Poughkeepsie, NY 12601-1300
Phone (845) 433-0101

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240008NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jun 11, 2016 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 11, 2016 Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2507 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-2287

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: chista.safajou.1@8424.direct.athenahealth.com

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.

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093845547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 W CEDAR ST STE 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011300",
            "telephone_number": "845-433-0101",
            "fax_number": "845-433-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W CEDAR ST STE 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011300",
            "telephone_number": "845-433-0101",
            "fax_number": "845-433-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAJOU",
        "first_name": "CHISTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "240008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.