Individual provider Active NPI

Chandandeep S. Nagi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1487652293
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
P8393 Issued in TX
Practice address
1 Gustave L Levy PL
Annenberg 15TH Floor Room 29
New York, NY 10029-6500
Phone
(212) 241-1632
Fax
(212) 534-7491
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X P8393 TX Primary
Anatomic Pathology Physician 207ZP0101X 231381-1 NY

Addresses

Primary practice location

1 Gustave L Levy PL
Annenberg 15TH Floor Room 29
New York, NY 10029-6500

Mailing address

1 Gustave L Levy PL
Pathology, Box 1194
New York, NY 10029-6500
Phone (212) 731-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20140604000495 TX Practitioner - Pathology 3971574906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8527956176, 47 clinicians

Practice addresses (Care Compare)

1115 Ave G
Bay City, TX 77414-3540
Phone (979) 245-6383

21214 Northwest Fwy
Cypress, TX 77429-3373
Phone (713) 432-1500

6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 481-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231381-1NYMDAnatomic Pathology Physician
P8393TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2014 Accepting new patients
Baylor College of Medicine Anatomic Pathology CurrentSince Jun 1, 2014 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1 Baylor Plz
Rm 286A
Houston, TX 77030
Phone (713) 873-3930

1504 Taub Loop
#621
Houston, TX 77030

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

Organizations & group practices 6

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 2

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1487652293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "PATHOLOGY, BOX 1194",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-731-7771",
            "fax_number": "212-534-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "ANNENBERG 15TH FLOOR ROOM 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-1632",
            "fax_number": "212-534-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGI",
        "first_name": "CHANDANDEEP",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "P8393",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "231381-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.