Individual provider Active NPI

Amitashilpa Mohan Chhabra, M.D.

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1316206378
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M.D 34426 Issued in AL
Practice address
5295 Preserve Pkwy
Suite 240
Hoover, AL 35244-4701
Phone
(205) 682-9124
Fax
(205) 682-9131
NPI assigned
May 11, 2012
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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 M.D 34426 AL Primary

Addresses

Primary practice location

5295 Preserve Pkwy
Suite 240
Hoover, AL 35244-4701

Mailing address

5295 Preserve Pkwy
Suite 240
Hoover, AL 35244-4701
Phone (205) 682-9124

Other names 1

  • Dr. Amita Shilpa Mohan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160108000839 AL Practitioner - Family Practice 6507168440 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M.D 34426ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Oct 23, 2015 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Oct 23, 2015 Accepting new patients
St. Vincent's Urgent Care LLC CurrentSince Nov 26, 2019 Accepting new patients
Baptist Health Centers LLC Family Medicine CurrentSince May 1, 2018 Accepting new patients
American Family Care, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince May 1, 2018 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

1944 28th Ave S
Homewood, AL 35209
Phone (205) 408-2366

5295 Preserve Pkwy
Ste 240
Hoover, AL 35244
Phone (205) 682-9124

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1316206378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 PRESERVE PKWY",
            "address_2": "SUITE 240",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444701",
            "telephone_number": "205-682-9124",
            "fax_number": "205-682-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 PRESERVE PKWY",
            "address_2": "SUITE 240",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444701",
            "telephone_number": "205-682-9124",
            "fax_number": "205-682-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "AMITASHILPA",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "M.D 34426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMITA",
            "last_name": "MOHAN",
            "middle_name": "SHILPA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.