Active NPI
Amitabh Chandra, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D79781
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6029
- NPI assigned
- Apr 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | D79781 | MD | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
4802 10TH Ave
Brooklyn, NY 11219-2916
Other names 1
- Amit Chandra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D79781 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Maryland-Frederick PC | Emergency Medicine | Current | Accepting new patients |
| Grace Medical Center, Inc. | Current | Accepting new patients | |
| Grace Medical Center, Inc. | Current | Accepting new patients | |
| Grace Medical Center, Inc. | Current | Accepting new patients | |
| University of Maryland Midtown Health Inc | Current | Accepting new patients | |
| University of Maryland Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| West Baltimore Emergency Medicine Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387
821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
Organizations & group practices 8
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.
-
- Mammography Clinic/Center
- Baltimore, MD
- NPI 1326629619
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1093322257
Emergency Medicine
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1710347729
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1104151091
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1215172234
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1568883395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1316237431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRA",
"first_name": "AMITABH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D79781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMIT",
"last_name": "CHANDRA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.