Individual provider Active NPI

Rahul Chakravarty, M.D.

  • Anesthesiology Physician
  • Oregon, OH
National Provider Identifier
1336339639
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35089899 Issued in OH
Practice address
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone
(419) 690-7653
NPI assigned
Aug 1, 2007
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35089899 OH Primary

Addresses

Primary practice location

2801 Bay Park Dr
Oregon, OH 43616-4920

Mailing address

1 Seagate
#800
Toledo, OH 43604-1558
Phone (567) 585-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070827000124 OH Practitioner - Anesthesiology 3779675459 Reassigns benefits to 3 organizations
I20111202000771 MI Practitioner - Anesthesiology 3779675459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35089899OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Feb 1, 2016 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Apr 1, 2020 Accepting new patients
Northstar Anesthesia of Michigan II PC Anesthesiology CurrentSince Sep 3, 2011 Accepting new patients
Promedica Central Corporation of Michigan Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2016 Accepting new patients
Anupama Shah MD, PLC CurrentSince Dec 31, 2012 Accepting new patients
Ambulatory Anesthesia Associates, PC Anesthesiology CurrentSince Mar 4, 2017 Accepting new patients
Stephen J. Watts, MD, PLLC Past Accepting new patients

Locations

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

1051 S Telegraph Rd
Ste 10
Monroe, MI 48161
Phone (734) 244-5383

1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1336339639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE",
            "address_2": "#800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BAY PARK DR",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164920",
            "telephone_number": "419-690-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRAVARTY",
        "first_name": "RAHUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35089899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.