Individual provider Active NPI

Damanjeet Singh Chugh, M.D.

  • Hospitalist Physician
  • Edmonds, WA
National Provider Identifier
1366492944
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD00042907 Issued in WA
Practice address
21601 76TH Ave W
Edmonds, WA 98026-7507
Phone
(425) 640-4000
Fax
(425) 640-4931
NPI assigned
May 12, 2006
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00042907 WA
Hospitalist Physician 208M00000X MD00042907 WA Primary

Addresses

Primary practice location

21601 76TH Ave W
Edmonds, WA 98026-7507

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20041117000261 WA Practitioner - HospitalistPractitioner - Internal Medicine 8224092473 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

Bothell, WA 98012

Sammamish, WA 98075

Seattle, WA 98118

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4000

5300 Tallman Ave NW
4 North
Seattle, WA 98107-3932

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042907WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Feb 9, 2022 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 3, 2022 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 1, 2022 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Providence Health & Services Mt Internal Medicine CurrentSince Feb 9, 2022 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince May 2, 2022 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Jul 28, 2013 Accepting new patients
Providence Health & Services Oregon CurrentSince May 2, 2022 Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 3, 2022 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Jul 21, 2022 Accepting new patients
Inpatient Physican Services PLLC Past Accepting new patients

Locations

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

5300 Tallman Ave NW
#4
Seattle, WA 98107
Phone (206) 297-5100

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Organizations & group practices 12

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 4

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1366492944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4000",
            "fax_number": "425-640-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGH",
        "first_name": "DAMANJEET",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00042907",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00042907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.