Chaitra Channappa, MBBS

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

271152 Issued in MA

Practice address

31 Home Depot Dr Ste 283
Plymouth, MA 02360-2669

Phone

(774) 343-2432

NPI assigned

Aug 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Family PracticeAlso: General Practice, Nuclear Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
• Tides Hospice, LLC Hospice, Norwell, MA, CCN 221622
• Beacon Hospice, an Amedisys Company Hospice, Charlestown, MA, CCN 221544
• Continuum Care of Mass, LLC Hospice, Fall River, MA, CCN 221609
• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Housecall Physicians, Inc

  • Family Medicine Physician
  • Plymouth, MA
  • NPI 1265996219
  Medicare reassignment Authorized official

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

• Beacon Hospice, LLC

  dba Beacon Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • Fall River, MA
  • NPI 1932283694
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Plymouth, MA
  • NPI 1366481293
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • South Easton, MA
  • NPI 1811257694
  Care Compare affiliation
• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001
  Care Compare affiliation
• Continuum Care of Mass, LLC

  dba Continuum Care

  • Community Based Hospice Care Agency
  • Fall River, MA
  • NPI 1134688575
  Care Compare affiliation
• Tides Hospice LLC

  • Community Based Hospice Care Agency
  • Norwell, MA
  • NPI 1538909353
  Care Compare affiliation

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457508079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOME DEPOT DR STE 283",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602669",
            "telephone_number": "774-343-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HOME DEPOT DR STE 283",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602669",
            "telephone_number": "774-343-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Home Depot Dr Ste 283",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602669",
            "country_code": "US",
            "telephone_number": "774-343-2432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Pinehills Dr Apt 1241",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023607824",
            "country_code": "US",
            "telephone_number": "319-400-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Pinehills Dr Apt 1241",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023607824",
            "country_code": "US",
            "telephone_number": "319-400-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANNAPPA",
        "first_name": "CHAITRA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-00450",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8277",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "271152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2013-00450",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA MEDICAL LICENSE BOARD",
            "identifier": "271152",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Champagne, M.ED, M.S.
• Regina Chandler, NP
• Emily Pakstis Chang, LICSW
• Hsueh-Ni Chang, MS
• Changing Tides Wellness LLC
• Kara D Chasse, LADC
• Margarida Chaves, RDH
• Shujie Chen
• Wenliang Chen, MD PHD
• Samridhi Chikersal, M.D

• Geriatric Medicine (Family Medicine) Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Geriatric Medicine (Family Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.