Individual provider Active NPI

Ajit K Chadha, MD

  • General Practice Physician
  • Cranston, RI
National Provider Identifier
1407862980
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04373 Issued in RI
Practice address
1312 Oaklawn Ave
Midland Medical
Cranston, RI 02920
Phone
(401) 463-3380
Fax
(401) 463-3308
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 04373 RI Primary

Addresses

Primary practice location

1312 Oaklawn Ave
Midland Medical
Cranston, RI 02920

Mailing address

1312 Oaklawn Ave
Midland Medical
Cranston, RI 02920
Phone (401) 463-3380

Other identifiers 1

IdentifierTypeStateIssuer
7004785MedicaidRI

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04373RIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Urgent Care Center of Cranston, LLC PastSince Jun 1, 2017 Accepting new patients
Midland Medical Inc PastSince Feb 1, 2020 Accepting new patients
David Carpentier, MD Family Healthcare LTD PastSince Jan 3, 2000 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407862980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 OAKLAWN AVE",
            "address_2": "MIDLAND MEDICAL",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-463-3380",
            "fax_number": "401-463-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 OAKLAWN AVE",
            "address_2": "MIDLAND MEDICAL",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-463-3380",
            "fax_number": "401-463-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "AJIT",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "RI",
            "license": "04373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004785",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.