Individual provider Active NPI

Atindra N. Chatterji, MD, FACP.

  • Gastroenterology Physician
  • Dayton, OH
National Provider Identifier
1306942214
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
048621 Issued in OH
Practice address
8701 Old Troy Pike, Suite 70
Dayton, OH 45424
Phone
(937) 233-5816
Fax
(937) 233-2337
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 048621 OH Primary

Addresses

Primary practice location

8701 Old Troy Pike, Suite 70
Dayton, OH 45424

Mailing address

8701 Old Troy Pike, Suite 70
Dayton, OH 45424
Phone (937) 233-5816

Other identifiers 1

IdentifierTypeStateIssuer
0584658MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100524000023 OH Practitioner - Internal MedicinePractitioner - Gastroenterology 5496884868 Practice locations: Dayton, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048621OHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306942214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 OLD TROY PIKE, SUITE 70",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-233-5816",
            "fax_number": "937-233-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 OLD TROY PIKE, SUITE 70",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-233-5816",
            "fax_number": "937-233-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERJI",
        "first_name": "ATINDRA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD, FACP.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "048621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0584658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.