Individual provider Active NPI

Abha Kumari Havaldar, MD

  • Gastroenterology Physician
  • Chillicothe, MO
National Provider Identifier
1154399475
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
111300 Issued in MO
Practice address
2799 N Washington St
Chillicothe, MO 64601-2902
Phone
(660) 214-8420
NPI assigned
Mar 11, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 111300 MO Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000024 MO Practitioner - Gastroenterology 5496853095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111300MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Chillicothe CurrentSince Mar 29, 2022 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Jul 1, 2025 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Mar 29, 2022 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jul 1, 2025 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Jul 1, 2025 Accepting new patients

Locations

2600 Miller St
Bethany, MO 64424
Phone (660) 425-0253

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1154399475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8657",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088657",
            "telephone_number": "816-866-5105",
            "fax_number": "816-207-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 N WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012902",
            "telephone_number": "660-214-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVALDAR",
        "first_name": "ABHA",
        "middle_name": "KUMARI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "111300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.