Individual provider Active NPI

Iftikhar Ahmed Chatha, MD

  • Adult Medicine Physician
  • Hermitage, PA
National Provider Identifier
1295747897
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD036917L Issued in PA
Practice address
2500 Highland Rd Ste 102
Hermitage, PA 16148-4602
Phone
(724) 981-7003
Fax
(724) 981-2171
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD036917L PA Primary

Addresses

Primary practice location

2500 Highland Rd Ste 102
Hermitage, PA 16148-4602

Mailing address

2500 Highland Rd Ste 102
Hermitage, PA 16148-4602
Phone (724) 981-7003

Other identifiers 4

IdentifierTypeStateIssuer
069781OtherPAHIGHMARK BLUE SHIELD
0007033140003MedicaidPA
0345077MedicaidOH
441082339OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20061213000034 PA Practitioner - Family Practice 2062411457 Reassigns benefits to 1 organization
Practice locations: Hermitage, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angelus Therapeutic Services Inc CurrentSince Dec 29, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 30, 2021 Accepting new patients
Steward Medical Group Inc. CurrentSince Nov 30, 2021 Accepting new patients

Locations

2425 Garden Way
Ste 102
Hermitage, PA 16148
Phone (724) 347-0700

2500 Highland Rd
Ste 102
Hermitage, PA 16148
Phone (724) 654-9555

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1295747897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HIGHLAND RD STE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484602",
            "telephone_number": "724-981-7003",
            "fax_number": "724-981-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHLAND RD STE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484602",
            "telephone_number": "724-981-7003",
            "fax_number": "724-981-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHA",
        "first_name": "IFTIKHAR",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD036917L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "069781",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007033140003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345077",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441082339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.