NPIMap

Individual provider Active NPI

Inderpal Singh Chhabra, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1497754881
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220535 Issued in NY
Practice address
26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone
(718) 347-0434
Fax
(718) 347-0517
NPI assigned
Jul 18, 2005
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220535 NY Primary

Addresses

Primary practice location

26619 Union Tpke
New Hyde Park, NY 11040-1426

Mailing address

26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone (718) 347-0434

Other identifiers 1

IdentifierTypeStateIssuer
01880753MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ichhabra@direct.dmhisp.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000391 NY Practitioner - Internal Medicine 7113910969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lefferts Medical Associates PCGroup PAC ID 6305839150, 17 clinicians

Practice addresses (Care Compare)

26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone (718) 347-0434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000382NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Li Walk-in Medical Care PC Internal Medicine Current Accepting new patients
Vytaliz Medical Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Lefferts Medical Associates PC Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Rana N. Hassan, M.D. P.C. Internal Medicine Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

808 Hicksville Rd
#A
Massapequa, NY 11758
Phone (516) 597-4242

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ichhabra@direct.dmhisp.com

Organizations & group practices 8

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1497754881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26619 UNION TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401426",
            "telephone_number": "718-347-0434",
            "fax_number": "718-347-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26619 UNION TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401426",
            "telephone_number": "718-347-0434",
            "fax_number": "718-347-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "INDERPAL",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880753",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ichhabra@direct.dmhisp.com",
            "affiliation": "N",
            "address_1": "26619 Union Tpke",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110401426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.