Komal Chandan, M.D

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

189392 Issued in NY

Practice address

4600 Military Rd
Suite a
Niagara Falls, NY 14305-1338

Phone

(716) 298-4050

NPI assigned

Jul 4, 2006

Last updated

Jul 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Niagara

  dba Niagara County Department of Mental Health Lockport

  • Community/Behavioral Health Agency
  • Lockport, NY
  • NPI 1891832879
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • Obstetrics & Gynecology Physician
  • Niagara Falls, NY
  • NPI 1982659256
  Medicare reassignment
• Komal Chandan Physician PLLC

  • Exclusive Provider Organization
  • Niagara Falls, NY
  • NPI 1790974269
  NPD (past) Authorized official
• County of Niagara

  • Land Ambulance
  • Lockport, NY
  • NPI 1891566725
  NPD
• County of Niagara

  dba Niagara County Adult Mental Health Clinic Niagara Falls

  • Community/Behavioral Health Agency
  • Niagara Falls, NV
  • NPI 1841340569
  NPD
• JGB Rehabilitation Corporation

  • Adult Day Care Clinic/Center
  • New York, NY
  • NPI 1538646856
  NPD (past)
• Schoellkopf Health Center

  • Skilled Nursing Facility
  • Niagara Falls, NY
  • NPI 1104916022
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1508896457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD",
            "address_2": "SUITE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD",
            "address_2": "SUITE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDAN",
        "first_name": "KOMAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "189392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01371553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Andrew Cauley, CPHT
• Madeline Elise Cavanagh, FNP
• Cazenovia Recovery Systems, Inc.
• Center for Applied Behavioral Supports, Inc.
• Monica Faith Centner
• Page Ann Chapman
• Milind R Chaudhari, M.D.
• Chaudhuri and Chaudhuri Physicians, PLLC
• Anita Chaudhuri, MD
• Jayanta Chaudhuri, MD

• Adult Medicine Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.