Active NPI
Vijaya Chada, MD
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1093917023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD430499
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-1542 - Phone
- (520) 262-4031
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD430499 | PA | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-1542
Mailing address
4817 N Ventana Ridge PL
Tucson, AZ 85750-6066
Phone (520) 262-4031
Other practice location 1
201 Reeceville Rd
Coatesville, PA 19320-1542
Phone (610) 383-8351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00402954 | Other | PA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20170724001724 | AZ | Order and Referring Only - Internal Medicine | 0143320150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD430499 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group of New Jersey PA | Internal Medicine | Past | Accepting new patients |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1104873629
Internal Medicine
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1093917023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4817 N VENTANA RIDGE PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506066",
"telephone_number": "520-262-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857231542",
"telephone_number": "520-262-4031"
}
],
"practiceLocations": [
{
"address_1": "201 Reeceville Rd",
"address_purpose": "LOCATION",
"city": "Coatesville",
"state": "PA",
"postal_code": "193201542",
"country_code": "US",
"telephone_number": "610-383-8351",
"fax_number": "610-383-8024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHADA",
"first_name": "VIJAYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD430499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00402954",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.