Individual provider Active NPI

Rajeev Chauhan, M.D.

  • Nephrology Physician
  • Columbus, GA
National Provider Identifier
1104812437
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
53587 Issued in GA
Practice address
6228 Bradley Park Dr
Suite a
Columbus, GA 31904-3603
Phone
(706) 322-1486
Fax
(706) 324-3419
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 53587 GA Primary
Nephrology Physician 207RN0300X 25539 AL

Addresses

Primary practice location

6228 Bradley Park Dr
Suite a
Columbus, GA 31904-3603

Mailing address

6228 Bradley Park Dr
Suite a
Columbus, GA 31904-3603
Phone (706) 322-1486

Other identifiers 8

IdentifierTypeStateIssuer
60032381OtherGABCBS AL
52071838OtherGABCBS GA
896218377EMedicaidGA
P00152204OtherGARAILROAD MEDICARE
009935035MedicaidAL
896218377AMedicaidGA
009931215MedicaidAL
51518197OtherALBCBS AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040517000189 GA Practitioner - NephrologyPractitioner - Internal Medicine 0244220713 Reassigns benefits to 3 organizations
I20120111000723 AL Practitioner - Nephrology 0244220713 Reassigns benefits to 3 organizations
I20190702003686 SD Practitioner - Nephrology 0244220713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Renal Associates of Albany, LLC 5 clinicians
Renal Associates of Lagrange LLC 12 clinicians
Renal Associates of Alabama, LLC 13 clinicians
Renal Associates, LLC 12 clinicians
Renal Associates of Roanoke LLC 9 clinicians

Practice addresses (Care Compare)

110 Logan CT
Albany, GA 31707-3366
Phone (706) 322-1486

1300 Lafayette Pkwy
Suite D
Lagrange, GA 30241-2610
Phone (706) 322-1486

42 Mitylene Park Lane
Montgomery, AL 36117-7306
Phone (334) 603-6626

4391 River Chase Dr
Phenix City, AL 36867-7519
Phone (706) 322-1486

4459 Hwy 431
Roanoke, AL 36274-2603
Phone (706) 322-1486

6228 Bradley Park Dr
Suite a
Columbus, GA 31904-3605
Phone (706) 322-1486

Hospital & facility affiliations

  • DaVita Columbus Home Training (PD/HHD) Dialysis facility, Columbus, GA, CCN 112869
  • Fresenius Kidney Care la Grange Home Dialysis facility, Lagrange, GA, CCN 112871
  • Fresenius Medical Care of Albany Dialysis facility, Albany, GA, CCN 852506
  • DaVita Columbus Dialysis Dialysis facility, Columbus, GA, CCN 112573
  • DaVita West Georgia Dialysis Dialysis facility, Columbus, GA, CCN 112742
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53587GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Nephrology CurrentSince May 29, 2019 Accepting new patients
Avera McKennan CurrentSince May 29, 2019 Accepting new patients
Renal Associates, LLC Nephrology CurrentSince Sep 22, 2003 Accepting new patients
Renal Associates of Alabama, LLC Nephrology CurrentSince Jul 28, 2018 Accepting new patients
Renal Associates of Roanoke, LLC Nephrology CurrentSince Mar 5, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Renal Associates of Lagrange LLC Nephrology CurrentSince Jun 1, 2013 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Guardian Medical Services, LLC Past Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

42 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 603-6626

2340 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 745-6883

4391 Riverchase Dr
Phenix City, AL 36867
Phone (334) 298-0294

4459 Highway 431
Roanoke, AL 36274
Phone (334) 863-8365

1216 Stark Ave
Columbus, GA 31906
Phone (706) 320-0103

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1200 Brookstone Centre Pkwy
Ste 111
Columbus, GA 31904
Phone (706) 322-2935

2401 Shelby St
Columbus, GA 31903
Phone (706) 682-5327

1216 Stark Ave
Ste A
Columbus, GA 31906

6228 Bradley Park Dr
Ste A
Columbus, GA 31904
Phone 7063221486203

1300 Lafayette Pkwy
Ste D
Lagrange, GA 30241
Phone (706) 882-2800

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

1315 S Cliff Ave
Ste 2000
Sioux Falls, SD 57105
Phone (605) 322-5800

Interoperability endpoints

  • Direct secure messaging: rajeev.chauhan@avera.sdhealthlink.net
  • Direct secure messaging: rajeev.chauhan@direct.davitaphysiciansolutions.com

Organizations & group practices 12

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 10

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1104812437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043603",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043603",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "RAJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "53587",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "25539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "60032381",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "52071838",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896218377E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00152204",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935035",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896218377A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009931215",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51518197",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.