Individual provider Active NPI

Bindu Rajeev Chennattu, MD

  • Physical Medicine & Rehabilitation Physician
  • Bridgeport, CT
National Provider Identifier
1326161878
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
041993 Issued in CT
Practice address
3084 Main St
Bridgeport, CT 06606-4219
Phone
(203) 371-0433
Fax
(203) 549-0919
NPI assigned
Apr 9, 2007
Last updated
May 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 041993 CT Primary

Addresses

Primary practice location

3084 Main St
Bridgeport, CT 06606-4219

Mailing address

23 Norton Rd
Easton, CT 06612-1539
Phone (203) 459-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040902001258 CT Practitioner - Physical Medicine and Rehabilitation 8224004031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3084 Main St
Bridgeport, CT 06606-4219
Phone (203) 371-0433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041993CTMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: bindu.chennattu.1@31410.direct.athenahealth.com

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, 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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1326161878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTON RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121539",
            "telephone_number": "203-459-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064219",
            "telephone_number": "203-371-0433",
            "fax_number": "203-549-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNATTU",
        "first_name": "BINDU",
        "middle_name": "RAJEEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "041993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.