Active NPI
Perveen Chattha, M.D.
- Neurology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 311980-01
- Practice address
- 1250 Waters PL
Bronx, NY 10461-2720 - Phone
- (929) 263-3866
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD61495765 | WA | |
| Neurology Physician | 2084N0400X | 311980-01 | NY | Primary |
Addresses
Primary practice location
1250 Waters PL
Bronx, NY 10461-2720
Mailing address
1250 Waters PL
Bronx, NY 10461-2720
Phone (929) 263-3866
Other practice location 1
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 774-8125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311980-01 | NY | MD | Neurology Physician |
| MD61495765 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients |
Locations
2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000
2311 Loveridge Rd
Pittsburg, CA 94565
Phone (800) 495-8885
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330
Interoperability endpoints
- pchattha3169450@wm.providencedirect.org
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, CA
- NPI 1205152782
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1215385653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612720",
"telephone_number": "929-263-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612720",
"telephone_number": "929-263-3866"
}
],
"practiceLocations": [
{
"address_1": "834 Sheridan St",
"address_purpose": "LOCATION",
"city": "Port Townsend",
"state": "WA",
"postal_code": "983682443",
"country_code": "US",
"telephone_number": "360-774-8125",
"fax_number": "360-774-8127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHATTHA",
"first_name": "PERVEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD61495765",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "311980-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.