Abha Kumari Havaldar, MD
Individual provider Active NPI Gastroenterology Physician · Chillicothe, MO
NPI 1154399475 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1154399475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 111300 (MO)
- Practice address
- 2799 N Washington St
Chillicothe, MO 64601-2902 - Phone
- (660) 214-8420
- NPI assigned
- Mar 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.69 of 100
- Quality
- 88.35
- Promoting interoperability
- 97
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111102000024 | MO | Practitioner - Gastroenterology | 5496853095 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Hospital of Trenton | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current |
Accepting new patients |
Locations
2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 111300 | MO | Yes |
Addresses
Primary practice location
2799 N Washington St
Chillicothe, MO 64601-2902
Mailing address
PO Box 8657
Saint Joseph, MO 64508-8657
Phone (816) 866-5105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208884304 | Medicaid | MO | |
| 990004041 | Other | RAILROAD MEDICARE |
Other providers in Chillicothe, MO
- Bobbi J Gratton
- Gregory W Sensenich Inc
- Brenda Haley
- Hannibal Regional Healthcare System, Inc.
- Hartegan,Inc
- Clayton John Hayley
- Marilyn Joan Heckelbeck
- Debra Lynn Hershberger
- Maelaina Rose Hibner
- David Christopher Hoel
All providers in Chillicothe, MO · Gastroenterology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.