Individual provider Active NPI

Chahat Thakur, M.D.

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1487712790
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94354 Issued in CA
Practice address
35400 Bob Hope Dr Ste 204
Rancho Mirage, CA 92270-1774
Phone
(760) 228-1114
Fax
(760) 228-2066
NPI assigned
Dec 5, 2006
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94354 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr Ste 204
Rancho Mirage, CA 92270-1774

Mailing address

PO Box 1600
Yucca Valley, CA 92286-1600
Phone (760) 567-6545

Other practice location 1

57402 29 Palms Hwy Ste 5
Yucca Valley, CA 92284-2957
Phone (760) 228-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070710000935 CA Practitioner - Family Practice 7719089903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indroj Medical Group Inc.Group PAC ID 6901908193, 2 clinicians

Practice addresses (Care Compare)

57402 29 Palms Hwy
Suite 5
Yucca Valley, CA 92284-2957
Phone 76022811142

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94354CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indroj Medical Group Inc. CurrentSince Jul 1, 2007 Accepting new patients
Hi-Desert Medical Center Past Accepting new patients

Locations

35400 Bob Hope Dr
Ste 204
Rancho Mirage, CA 92270
Phone (760) 228-1114

35400 Bob Hope Dr
Ste 210
Rancho Mirage, CA 92270
Phone (760) 202-0686

57402 29 Palms Hwy
Ste 5
Yucca Valley, CA 92284
Phone (760) 228-1114

58471 29 Palms Hwy
Ste 201
Yucca Valley, CA 92284
Phone (760) 228-1114

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Springs Healthcare Center at the CarlottaPalm Desert, CA, CCN 555226 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 16, 2023
Nov 16, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1487712790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922861600",
            "telephone_number": "760-567-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701774",
            "telephone_number": "760-228-1114",
            "fax_number": "760-228-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57402 29 Palms Hwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922842957",
            "country_code": "US",
            "telephone_number": "760-228-1114",
            "fax_number": "760-228-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "CHAHAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.