Active NPI
Chitrita G Roy, MD
- Pediatrics Physician
- Bellevue, NE
National Provider Identifier
1396771010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19429
- Practice address
- 404 W Mission Ave
Suite a
Bellevue, NE 68005-5173 - Phone
- (402) 991-5437
- Fax
- (402) 991-5497
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19429 | NE | Primary |
Addresses
Primary practice location
404 W Mission Ave
Suite a
Bellevue, NE 68005-5173
Mailing address
404 W Mission Ave
Suite a
Bellevue, NE 68005-5173
Phone (402) 991-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250684-00 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19429 | NE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1396771010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W MISSION AVE",
"address_2": "SUITE A",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680055173",
"telephone_number": "402-991-5437",
"fax_number": "402-991-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W MISSION AVE",
"address_2": "SUITE A",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680055173",
"telephone_number": "402-991-5437",
"fax_number": "402-991-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "CHITRITA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "19429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250684-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.