Individual provider Active NPI

Pooja Chugh, DDS

  • Dentist
  • Morgantown, WV
National Provider Identifier
1366094831
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042364 Issued in PA
Practice address
409 Arabela CT
Morgantown, WV 26508-4266
Phone
(216) 816-4849
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042364 PA Primary

Addresses

Primary practice location

409 Arabela CT
Morgantown, WV 26508-4266

Mailing address

409 Arabela CT
Morgantown, WV 26508-4266
Phone (216) 816-4849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117002492 OH Practitioner - Dentist 8123417672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Nov 14, 2022 Accepting new patients
Health Partners of Western Ohio CurrentSince Nov 14, 2022 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients

Locations

111 W Espy St
Kenton, OH 43326
Phone (419) 679-5994

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

Organizations & group practices 3

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1366094831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ARABELA CT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084266",
            "telephone_number": "216-816-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARABELA CT",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084266",
            "telephone_number": "216-816-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGH",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.