Katherine Chaves, MD
Individual provider Active NPI Gynecology Physician · Newtown Square, PA
NPI 1104211077 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1104211077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- MD480522 (PA)
- Practice address
- 3855 W Chester Pike Ste 340
Newtown Square, PA 19073-2304 - Phone
- (484) 227-9680
- Fax
- (484) 227-9695
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Line Healthcare
Practice addresses (Care Compare)
100 E Lancaster Ave
Suite 135
Wynnewood, PA 19096-3453
Phone (610) 896-4380
Hospital & facility affiliations
- Bryn Mawr Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929001664 | PA | Practitioner - Obstetrics/Gynecology | 2163709262 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59969 | TN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Current |
Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3855 West Chester Pike
Newtown Square, PA 19073
Phone (484) 337-6000
3855 West Chester Pike
Ste 340
Newtown Square, PA 19073
Phone (484) 227-9680
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
100 E Lancaster Ave
Ste 135
Wynnewood, PA 19096
Phone (484) 476-1190
Interoperability endpoints
- kchaves465258@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 59969 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gynecology Physician | 207VG0400X | MD480522 | PA | Yes |
Addresses
Primary practice location
3855 W Chester Pike Ste 340
Newtown Square, PA 19073-2304
Mailing address
3855 W Chester Pike Ste 340
Newtown Square, PA 19073-2304
Phone (484) 227-9680
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-3723
Phone (615) 322-3000
Other practice location 2
1161 21st Ave South
R-1200 Medical Center North
Nashville, TN 37232-3723
Phone (615) 322-3020
Other practice location 3
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-6710
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kchaves465258@direct.vumc.org | Direct |
Other providers in Newtown Square, PA
- Ines M Casado Strine
- Jenna Nicole Casasanto
- Barbara-Lee Catania
- Tara Chadwick
- Emily Bernbaum Chaffin
- Edward Joseph Chermol III
- Tyece Cherry
- Susan M. Chialastri
- Children'S Dental Health Associates
- James Childress
All providers in Newtown Square, PA · Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.