NPIMap

Individual provider Active NPI

Jagjit Chadha, M.D

  • Internal Medicine Physician
  • Dequincy, LA
National Provider Identifier
1144377128
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13083R Issued in LA
Practice address
140 W 4TH St
Dequincy, LA 70633-3508
Phone
(337) 786-5007
Fax
(337) 786-5009
NPI assigned
Jan 4, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13083R LA Primary

Addresses

Primary practice location

140 W 4TH St
Dequincy, LA 70633-3508

Mailing address

140 W 4TH St
Dequincy, LA 70633-3508
Phone (337) 786-5007

Other identifiers 1

IdentifierTypeStateIssuer
1555070MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000163 LA Practitioner - Internal Medicine 5698770568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chadha Medical ClinicGroup PAC ID 4981609336, 3 clinicians

Practice addresses (Care Compare)

140 W 4TH St
Dequincy, LA 70633-3508

237 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603
Phone (337) 885-7475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13083RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dequincy Medical Associates Internal Medicine Current Accepting new patients
Chadha Medical Clinic CurrentSince Apr 1, 2000 Accepting new patients
Health Clinic of Moss Bluff, LLC Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
St Michael Pfu LLC Past Accepting new patients

Locations

140 W 4th St
Dequincy, LA 70633
Phone (337) 786-5007

237 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 855-3438

Interoperability endpoints

  • Direct secure messaging: dmhjchadh@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chadha Medical ClinicDequincy, LA, CCN 193873 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Operational/Managerial Control (25%)		 Sep 25, 2006
Sep 25, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144377128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333508",
            "telephone_number": "337-786-5007",
            "fax_number": "337-786-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333508",
            "telephone_number": "337-786-5007",
            "fax_number": "337-786-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "JAGJIT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13083R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555070",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dequincy, LA

Sources for this page

Verify at the official NPI Registry.