Individual provider Active NPI

Suresh Chandani, MD

  • Family Medicine Physician
  • Hopewell Junction, NY
National Provider Identifier
1275586158
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
147940 Issued in NY
Practice address
1123 Route 82
Hopewell Junction, NY 12533-6206
Phone
(845) 471-3500
Fax
(877) 546-3181
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 147940 NY Primary

Addresses

Primary practice location

1123 Route 82
Hopewell Junction, NY 12533-6206

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 471-3500

Other practice location 1

66 Middlebush Rd
Suite 202
Wappingers Falls, NY 12590-4098
Phone (845) 896-5900

Other identifiers 2

IdentifierTypeStateIssuer
0723753MedicaidNY
CHOVMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080729000442 NY Practitioner - Family Practice 9739253410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Hospital & facility affiliations

  • Health Quest Home Care, Inc (Certified) Chha Home health agency, Poughkeepsie, NY, CCN 337230
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147940NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Medical Group, PLLC Family Medicine CurrentSince Feb 28, 2024 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

400 Westage Business Ctr Dr
Ste 211
Fishkill, NY 12524
Phone (845) 471-3500

400 Westage Business Ctr Dr
Ste 103
Fishkill, NY 12524
Phone (845) 454-1942

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

400 Westage Business Ctr Dr
Ste 205
Fishkill, NY 12524
Phone (845) 231-0321

1123 Route 82
Hopewell Junction, NY 12533
Phone (845) 221-5310

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA
  • Direct secure messaging: sureshc@hiemail.healtheconnections.org

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 and National Provider Directory roles.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1275586158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-471-3500",
            "fax_number": "877-546-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 ROUTE 82",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336206",
            "telephone_number": "845-471-3500",
            "fax_number": "877-546-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Middlebush Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125904098",
            "country_code": "US",
            "telephone_number": "845-896-5900",
            "fax_number": "845-896-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDANI",
        "first_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "147940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723753",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CHOV",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.