Individual provider Active NPI

Avinash Suresh Chavda, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
National Provider Identifier
1407210305
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
R5529 Issued in TX
Practice address
4323 N Josey LN Ste 206
Carrollton, TX 75010-4630
Phone
(214) 774-4878
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X R5529 TX Primary

Addresses

Primary practice location

4323 N Josey LN Ste 206
Carrollton, TX 75010-4630

Mailing address

4323 N Josey LN Ste 206
Carrollton, TX 75010-4630
Phone (214) 774-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201214000832 MD Practitioner - Physical Medicine and Rehabilitation 4385056530 Reassigns benefits to 2 organizations
I20220708002273 TX Practitioner - Physical Medicine and Rehabilitation 4385056530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtuoso Spine and Joint Carrollton PLLCGroup PAC ID 8628458627, 2 clinicians

Practice addresses (Care Compare)

4323 N Josey LN
Suite 206
Carrollton, TX 75010-4630
Phone (469) 340-1366

Hospital & facility affiliations

  • Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5529TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 1, 2021 Accepting new patients
Virtuoso Spine and Joint Carrollton PLLC Physical Medicine & Rehabilitation CurrentSince Nov 29, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Physical Medicine & Rehabilitation CurrentSince Jan 1, 2021 Accepting new patients

Locations

5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545

600 N Wolfe St
Baltimore, MD 21287

6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

4323 N Josey Ln
Ste 206
Carrollton, TX 75010
Phone (469) 340-1366

Interoperability endpoints

  • Direct secure messaging: achavda795859@direct.hopkinsmedicine.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIDHCD/Endpoint/JIDHCD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1407210305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "214-774-4878",
            "fax_number": "213-444-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "214-774-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVDA",
        "first_name": "AVINASH",
        "middle_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "R5529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.