Active NPI
Ashok Chaddah, MD
- Nephrology Physician
- Indiana, PA
National Provider Identifier
1124099429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD029372E
- Practice address
- 841 Hospital Rd
Suite 3500
Indiana, PA 15701-3620 - Phone
- (724) 349-8636
- Fax
- (724) 465-1022
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD029372E | PA | Primary |
Addresses
Primary practice location
841 Hospital Rd
Suite 3500
Indiana, PA 15701-3620
Mailing address
841 Hospital Rd
Suite 3500
Indiana, PA 15701-3620
Phone (724) 349-8636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01140525 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029372E | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1124099429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 HOSPITAL RD",
"address_2": "SUITE 3500",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013620",
"telephone_number": "724-349-8636",
"fax_number": "724-465-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 HOSPITAL RD",
"address_2": "SUITE 3500",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013620",
"telephone_number": "724-349-8636",
"fax_number": "724-465-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADDAH",
"first_name": "ASHOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD029372E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01140525",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.