NPIMap

Individual provider Active NPI

Uday R Chauhan, MD PA

  • Internal Medicine Physician
  • Orange City, FL
National Provider Identifier
1194750695
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73576 Issued in FL
Practice address
Chauhan Medical Center
2720 Rebecca Lane Ste 101
Orange City, FL 32763
Phone
(386) 456-5159
Fax
(386) 456-0139
NPI assigned
Jul 12, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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 ME73576 FL Primary

Addresses

Primary practice location

Chauhan Medical Center
2720 Rebecca Lane Ste 101
Orange City, FL 32763

Mailing address

Chauhan Medical Center
2720 Rebecca Lane Ste 101
Orange City, FL 32763
Phone (386) 456-5159

Other identifiers 3

IdentifierTypeStateIssuer
E0561XOtherFLMEDICARE ID NUMBER
44760OtherFLBCBS
261505300MedicaidFL

Other names 1

  • Dr. Kevin Chauhan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070127000003 FL Practitioner - Internal Medicine 7214938679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2720 Rebecca LN
Suite 101
Orange City, FL 32763-8351
Phone (386) 456-5159

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73576FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uday Chauhan MD PA Internal Medicine CurrentSince Oct 1, 2006 Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients
Jose J Rosales MD PA Past Accepting new patients
East Coast Hospital Inpatient Specialists PLC PastSince Nov 19, 2011 Accepting new patients

Locations

2720 Rebecca Ln
Ste 101
Orange City, FL 32763
Phone (386) 456-5159

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIABA/Endpoint/ACIABA

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1194750695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHAUHAN MEDICAL CENTER",
            "address_2": "2720 REBECCA LANE STE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-456-5159",
            "fax_number": "386-456-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHAUHAN MEDICAL CENTER",
            "address_2": "2720 REBECCA LANE STE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-456-5159",
            "fax_number": "386-456-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "UDAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "E0561X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44760",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261505300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "CHAUHAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.