Individual provider Active NPI

Surendra Singh Chawla, MD

  • Pulmonary Disease Physician
  • Reading, MA
National Provider Identifier
1336178680
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
49825 Issued in MA
Practice address
274 Main St
Suite # 308
Reading, MA 01867-3611
Phone
(781) 944-8950
Fax
(781) 944-8977
NPI assigned
Jun 30, 2006
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 49825 MA Primary

Addresses

Primary practice location

274 Main St
Suite # 308
Reading, MA 01867-3611

Mailing address

274 Main St
Suite# 308
Reading, MA 01867-3611
Phone (781) 944-8950

Other identifiers 1

IdentifierTypeStateIssuer
6177719MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050323000134 MA Practitioner - Internal Medicine 5496701575 Practice locations: Reading, MA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49825MAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1336178680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "address_2": "SUITE# 308",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673611",
            "telephone_number": "781-944-8950",
            "fax_number": "781-944-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "address_2": "SUITE # 308",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673611",
            "telephone_number": "781-944-8950",
            "fax_number": "781-944-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "SURENDRA",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "49825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6177719",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.