Individual provider Active NPI

Preeti Abhinav Chandra, M.D.

  • Cardiovascular Disease Physician
  • Yuma, AZ
National Provider Identifier
1164619912
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
51909 Issued in AZ
Practice address
1951 W 25TH St
Yuma, AZ 85364-6925
Phone
(928) 336-1675
Fax
(928) 336-1676
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 51909 AZ Primary

Addresses

Primary practice location

1951 W 25TH St
Yuma, AZ 85364-6925

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000

Other names 1

  • Dr. Preeti Satish Pednekar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160708001125 AZ Practitioner - Cardiovascular Disease (Cardiology) 4486803194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265906NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Feb 28, 2017 Accepting new patients
Young Hearts of Yuma, Inc CurrentSince Jun 13, 2016 Accepting new patients
Yuma Regional Medical Center Internal Medicine CurrentSince Feb 28, 2017 Accepting new patients

Locations

2460 S Parkview Loop
Ste 203
Yuma, AZ 85364
Phone (928) 336-2619

1951 W 25th St
Ste F
Yuma, AZ 85364
Phone (928) 314-4800

2051 W 25th St
Ste Ab
Yuma, AZ 85364

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2051 W 25th St
Ste A
Yuma, AZ 85364
Phone (928) 317-1119

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2204/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1164619912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 25TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646925",
            "telephone_number": "928-336-1675",
            "fax_number": "928-336-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "PREETI",
        "middle_name": "ABHINAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "51909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PREETI",
            "last_name": "PEDNEKAR",
            "middle_name": "SATISH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.