Individual provider Active NPI

Shabnam Chaugle, M.D.

  • Surgery Physician
  • Prosser, WA
National Provider Identifier
1174719975
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A101176 Issued in CA
Practice address
820 Memorial St., Ste 3
Prosser, WA 99350
Phone
(509) 786-5599
Fax
(209) 342-3743
NPI assigned
Sep 14, 2007
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A101176 CA Primary

Addresses

Primary practice location

820 Memorial St., Ste 3
Prosser, WA 99350

Mailing address

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181024001576 TX Practitioner - General Surgery 9638268691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgeons of Pasadena PLLCGroup PAC ID 1759447089, 3 clinicians

Practice addresses (Care Compare)

3801 Vista Rd
Suite 450
Pasadena, TX 77504-2176
Phone (713) 944-2240

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8541TXMDPediatric Hematology & Oncology Physician
A101176CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgeons of Pasadena PLLC Surgery CurrentSince Nov 1, 2018 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3801 Vista Rd
Ste 450
Pasadena, TX 77504
Phone (713) 944-2240

10970 Shadow Creek Pkwy
Ste 350
Pearland, TX 77584
Phone (713) 340-3128

Interoperability endpoints

  • Direct secure messaging: shabnam.chaugle@hca9.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1174719975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MEMORIAL ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "99350",
            "telephone_number": "509-786-2222",
            "fax_number": "509-786-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MEMORIAL ST., STE 3",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "99350",
            "telephone_number": "509-786-5599",
            "fax_number": "209-342-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUGLE",
        "first_name": "SHABNAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A101176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

Verify at the official NPI Registry.