Active NPI
Cynamon Kely Chawla, MD
- Obstetrics & Gynecology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD417578
- Practice address
- 4020 Wake Forest Rd
Suite 201
Raleigh, NC 27609-6866 - Phone
- (919) 876-9797
- NPI assigned
- Feb 24, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD417578 | PA | Primary |
Addresses
Primary practice location
4020 Wake Forest Rd
Suite 201
Raleigh, NC 27609-6866
Mailing address
4020 Wake Forest Rd
Suite 201
Raleigh, NC 27609-6866
Phone (919) 876-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20130709000123 | NC | Practitioner - Obstetrics/Gynecology | 2163414491 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632
901 Ridgefield Dr
Raleigh, NC 27609-8504
Phone (919) 876-9797
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD417578 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Whap, PA | Obstetrics & Gynecology | Past | Accepting new patients |
| GCSF OBGYN Assoc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
200 Perimeter Park Dr
Ste B
Morrisville, NC 27560
Phone (919) 334-0150
901 Ridgefield Dr
Raleigh, NC 27609
Phone (919) 876-9797
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
Interoperability endpoints
- cynamon.chawla.1@7773.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
NC, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Willow Grove, PA
- NPI 1790752830
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124094677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 WAKE FOREST RD",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096866",
"telephone_number": "919-876-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 WAKE FOREST RD",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096866",
"telephone_number": "919-876-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAWLA",
"first_name": "CYNAMON",
"middle_name": "KELY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD417578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.