Individual provider Active NPI

Arijit Chakravarty, MD

  • Nephrology Physician
  • Morgantown, WV
National Provider Identifier
1386778199
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
33544 Issued in WV
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(855) 988-2273
NPI assigned
Mar 15, 2007
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA08265700 NJ
Nephrology Physician 207RN0300X 56483 TN
Nephrology Physician 207RN0300X 33544 WV Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (855) 988-2273

Other practice location 1

300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018-7527
Phone (901) 767-0101

Other identifiers 1

IdentifierTypeStateIssuer
0137464MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, WV, AR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171227001773 TN Practitioner - Nephrology 1254424997 Reassigns benefits to 2 organizations
I20210216002107 MS Practitioner - Nephrology 1254424997 Reassigns benefits to 2 organizations
I20240509002180 WV Practitioner - Nephrology 1254424997
I20241015002984 AR Practitioner - Nephrology 1254424997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mittal Kidney and Dialysis, PCGroup PAC ID 9830152958, 6 clinicians
Mid-South Nephrology Consultants PLLCGroup PAC ID 3971585373, 14 clinicians

Practice addresses (Care Compare)

300 S Walnut Bend Rd
Suite 12
Cordova, TN 38018-7527
Phone (901) 767-0101

310 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 565-0244

6490 Mount Moriah Rd Ext
Suite 200
Memphis, TN 38115-3841
Phone (901) 565-0244

7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 565-0244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.16 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
78.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Nephrology Consultants PLLC Nephrology CurrentSince Aug 3, 2024 Accepting new patients
Mittal Kidney and Dialysis PC Nephrology CurrentSince Aug 1, 2020 Accepting new patients
Memphis Neurology PLLC PastSince Aug 1, 2021 Accepting new patients
Mittal Kidney and Dialysis PastSince Jun 1, 2020 Accepting new patients
Ut Medical Group Inc Past Accepting new patients

Locations

902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025

310 S Rhodes St
West Memphis, AR 72301
Phone (870) 735-5445

7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

7684 Airways Blvd
Southaven, MS 38671
Phone (901) 405-0275

300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018
Phone (901) 767-0101

2047 Highway 51 S
Covington, TN 38019
Phone (901) 475-1555

1265 Union Ave
Ste 184
Memphis, TN 38104
Phone (901) 516-7469

6490 Mount Moriah Road Ext
Ste 200
Memphis, TN 38115

Interoperability endpoints

  • Direct secure messaging: achakravarty21890@mlh.direct-ci.com
  • Direct secure messaging: achakravarty65557@direct.acumenmd.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA

Organizations & group practices 5

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 8

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1386778199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "855-988-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "855-988-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S WALNUT BEND RD",
            "address_2": "STE 12",
            "address_purpose": "LOCATION",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187527",
            "country_code": "US",
            "telephone_number": "901-767-0101",
            "fax_number": "901-767-0304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRAVARTY",
        "first_name": "ARIJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08265700",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "56483",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "33544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137464",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.