Individual provider Active NPI

Chaitanya Challa, MD

  • Anesthesiology Physician
  • New Hyde Park, NY
National Provider Identifier
1437563525
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
257926 Issued in NY
Practice address
270-05 76TH Avenue
Department of Anesthesia
New Hyde Park, NY 11040
Phone
(718) 470-7390
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 257926 NY Primary

Addresses

Primary practice location

270-05 76TH Avenue
Department of Anesthesia
New Hyde Park, NY 11040

Mailing address

68 South Service Road
Melville, NY 11747
Phone (516) 945-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20160721001128 DC Practitioner - Pediatric MedicinePractitioner - Anesthesiology 0143448019 Reassigns benefits to 2 organizations
I20180515000824 MD Practitioner - Anesthesiology 0143448019 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
University of Maryland Anesthesiology Associates, P.a. Anesthesiology CurrentSince May 1, 2018 Accepting new patients
Children'S Hospital CurrentSince Feb 16, 2019 Accepting new patients
Holy Cross Anesthesiology Associate PA Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
Children'S Hospital CurrentSince Feb 16, 2019 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1437563525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SOUTH SERVICE ROAD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270-05 76TH AVENUE",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLA",
        "first_name": "CHAITANYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "257926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.