Organization Active NPI

Housecall Physicians, Inc

  • Family Medicine Physician
  • Plymouth, MA
National Provider Identifier
1265996219
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOUSECALL PHYSICIANS, INC
Practice address
31 Home Depot Drive
Suite 283
Plymouth, MA 02360
Phone
(774) 343-2432
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Chaitra Channappa, M.D.NPI 1457508079
Title
President
Phone
(774) 343-2432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

31 Home Depot Drive
Suite 283
Plymouth, MA 02360

Mailing address

31 Home Depot Dr Ste 283
Plymouth, MA 02360-2669
Phone (774) 343-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225000788 MA Part B Supplier - Clinic/Group Practice 9931448636 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1265996219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOME DEPOT DR STE 283",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602669",
            "telephone_number": "774-343-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HOME DEPOT DRIVE",
            "address_2": "SUITE 283",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "774-343-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALL PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "CHANNAPPA",
        "authorized_official_first_name": "CHAITRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-343-2432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.