Pooja Chugh, DDS
Individual provider Active NPI Dentist · Morgantown, WV
NPI 1366094831 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1366094831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS042364 (PA)
- Practice address
- 409 Arabela CT
Morgantown, WV 26508-4266 - Phone
- (216) 816-4849
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221117002492 | OH | Practitioner - Dentist | 8123417672 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Partners of Western Ohio | Current | Accepting new patients | |
| Health Partners of Western Ohio | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042364 | PA | Yes |
Addresses
Primary practice location
409 Arabela CT
Morgantown, WV 26508-4266
Mailing address
409 Arabela CT
Morgantown, WV 26508-4266
Phone (216) 816-4849
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.