Active NPI
Om P Chhabra, M.D.
- Pediatrics Physician
- Waldorf, MD
National Provider Identifier
1104964345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D14029
- Practice address
- 3600 Leonardtown Rd
Suite 101
Waldorf, MD 20601-3647 - Phone
- (301) 645-5951
- Fax
- (301) 843-2384
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D14029 | MD | Primary |
| Pediatrics Physician | 208000000X | MD5810 | DC |
Addresses
Primary practice location
3600 Leonardtown Rd
Suite 101
Waldorf, MD 20601-3647
Mailing address
3600 Leonardtown Rd
Suite 101
Waldorf, MD 20601-3647
Phone (301) 645-5951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5810 | DC | MD | Pediatrics Physician |
| D14029 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Chhabra & Sait, M.D., P.a. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ochhabra@southernmdpeds.opdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Waldorf, MD
- NPI 1326221904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104964345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LEONARDTOWN RD",
"address_2": "SUITE 101",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013647",
"telephone_number": "301-645-5951",
"fax_number": "301-843-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 LEONARDTOWN RD",
"address_2": "SUITE 101",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013647",
"telephone_number": "301-645-5951",
"fax_number": "301-843-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHABRA",
"first_name": "OM",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D14029",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD5810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- Chesapeake Eye Care and Laser Center, LLC
- Chesapeake Medical Transport Services LLC
- Chesapeake&Washington Heart Care, PC
- Juleen M. H. Chevalier, MSW
- Jaya Chhabra
- Hilda Mungen CHI, NP
- Chika Eye Care LLC
- Child & Adult Psychiatry & Behavioral Services LLC
- Child & Adult Rehab Serv Inc
- Children'S Pediatricians & Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.