Individual provider Active NPI

Indira Devi Challa, M.D.

  • Psychiatry Physician
  • Murfreesboro, TN
National Provider Identifier
1457449993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000028552 Issued in TN
Practice address
3400 Lebanon Pike
Murfreesboro, TN 37129-1236
Phone
(615) 893-1360
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD0000028552 TN Primary

Addresses

Primary practice location

3400 Lebanon Pike
Murfreesboro, TN 37129-1236

Mailing address

3400 Lebanon Pike
Murfreesboro, TN 37129-1236
Phone (615) 893-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NE, ND, IA, OK, WI, OH, UT, MN, IL, NC11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20090608000595 TN Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
Practice locations: Fayetteville, TN
I20230118000341 NE Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20230119002360 ND Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20230123000201 IA Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20230126002866 OK Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20230331002207 WI Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20231002000962 OH Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20240507002508 UT Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20240522000908 MN Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20240522001664 IL Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization
I20250522000887 NC Practitioner - Psychiatry 7214087527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (855) 270-3625

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

203 4TH St NW
Bagley, MN 56621-8305
Phone (218) 333-4912

207 E F St
Okeene Municipal Hospital
Okeene, OK 73763-9441
Phone (515) 895-4448

209 Seafarer Dr
Unit a
Carolina Beach, NC 28428-4622
Phone (855) 270-3625

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-3831

355 Main St
Kanab, UT 84741
Phone (855) 270-3625

45 Plateau St
Bryson City, NC 28713-4200
Phone (282) 488-2155

50 Hospital Dr
Suite 2B
Columbus, NC 28722-8516
Phone (828) 434-3311

802 2ND St NW
Bowman, ND 58623-4483
Phone (855) 270-3625

905 Main St
Lisbon, ND 58054-4334
Phone (855) 270-3625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000028552TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Hospital LLC Psychiatry CurrentSince Mar 9, 2022 Accepting new patients
Evizzit of Iowa Psychiatry PC Psychiatry CurrentSince Oct 16, 2022 Accepting new patients

Locations

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939

1808 Civic Center Dr
Willmar, MN 56201
Phone (320) 231-6006

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

207 E F St
Okeene, OK 73763
Phone (580) 822-4321

8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750

2010 Quail Hollow Cir
Franklin, TN 37067
Phone (615) 807-4020

2014 Quail Hollow Cir
Franklin, TN 37067
Phone (615) 250-6700

355 N Main St
Kanab, UT 84741
Phone (435) 644-4100

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

Organizations & group practices 2

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 6

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457449993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEBANON PIKE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291236",
            "telephone_number": "615-893-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEBANON PIKE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291236",
            "telephone_number": "615-893-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLA",
        "first_name": "INDIRA",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000028552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.