Individual provider Active NPI

Chitra Punjabi Katiyar, MD

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1104172188
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
299158 Issued in NY
Practice address
1250 Waters Place
Tower II, 12TH Floor
New York, NY 10461
Phone
(866) 633-8255
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD455584 PA
Student in an Organized Health Care Education/Training Program 390200000X MT200996 PA
Infectious Disease Physician 207RI0200X 299158 NY Primary

Addresses

Primary practice location

1250 Waters Place
Tower II, 12TH Floor
New York, NY 10461

Mailing address

1309 5TH Ave Apt 9G
New York, NY 10029-3124
Phone (215) 987-8843

Other names 1

  • Chitra Deepak Punjabi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpunjabi@montefiore.org

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
I20191022003528 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 8123328820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RocklandGroup PAC ID 2769374206, 2 clinicians

Practice addresses (Care Compare)

50 Sanatorium Rd
BLDG D
Pomona, NY 10970-3555
Phone (845) 364-2508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455584PAMDInternal Medicine Physician
MT200996PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 17, 2019 Accepting new patients
County of Rockland Current Accepting new patients
County of Rockland CurrentSince Oct 15, 2021 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Aug 17, 2019 Accepting new patients
Rockland County Health Department Past Accepting new patients

Locations

1250 Waters Pl
Fl 12
Bronx, NY 10461
Phone (646) 642-0146

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: chitra.katiyar@rck.eclinicaldirectplus.com

Organizations & group practices 5

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1104172188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 5TH AVE APT 9G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293124",
            "telephone_number": "215-987-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PLACE",
            "address_2": "TOWER II, 12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "866-633-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIYAR",
        "first_name": "CHITRA",
        "middle_name": "PUNJABI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD455584",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT200996",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "299158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpunjabi@montefiore.org",
            "affiliation": "N",
            "address_1": "1250 Waters Place",
            "address_2": "Tower II, 12th Floor",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHITRA",
            "last_name": "PUNJABI",
            "middle_name": "DEEPAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.