NPIMap

Individual provider Active NPI

Chandra Vethody

  • Allergy & Immunology (Internal Medicine) Physician
  • Louisville, KY
National Provider Identifier
1427432285
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
53464 Issued in KY
Practice address
411 E Chestnut St # 5a
Louisville, KY 40202-1713
Phone
(502) 588-2349
Fax
(502) 588-9535
NPI assigned
Jul 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 53464 KY Primary
Internal Medicine Physician 207R00000X 53464 KY

Addresses

Primary practice location

411 E Chestnut St # 5a
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cvethody191956@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200819002838 KY Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8729389747 Reassigns benefits to 2 organizations
I20250401000800 IN Practitioner - Allergy/Immunology 8729389747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

Practice addresses (Care Compare)

108 W Daisy LN
New Albany, IN 47150-4537
Phone 50289301591188

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone 50289301591188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Merit Anesthesia PLLC CurrentSince Jan 2, 2025 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Advanced ENT and Allergy PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

500 Northridge Rd
Ste 400
Sandy Springs, GA 30350
Phone (470) 508-5343

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1725 Gagel Ave
Louisville, KY 40216
Phone (502) 995-5525

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

Interoperability endpoints

  • Direct secure messaging: cvethody405090@direct.vumc.org

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1427432285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST # 5A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-2349",
            "fax_number": "502-588-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETHODY",
        "first_name": "CHANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-11",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "KY",
            "license": "53464",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "53464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvethody191956@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 5A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 5A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.