Active NPI
Surendra Singh Chawla, MD
- Pulmonary Disease Physician
- Reading, MA
National Provider Identifier
1336178680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 49825
- 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, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6177719 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49825 | MA | MD | Pulmonary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.