Individual provider Active NPI

Amit Kumar Chakraborty, MD

  • Diagnostic Radiology Physician
  • Stanford, CA
National Provider Identifier
1548623325
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A150356 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 287105 MA
Diagnostic Radiology Physician 2085R0202X A150356 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-7717

Other practice location 2

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220804002197 IN Practitioner - Diagnostic Radiology 1951792910 Reassigns benefits to 2 organizations
I20220815002818 KY Practitioner - Diagnostic Radiology 1951792910 Reassigns benefits to 3 organizations
I20220921002727 CA Practitioner - Diagnostic Radiology 1951792910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Northgate Medical Imaging LLCGroup PAC ID 5193744209, 43 clinicians

Practice addresses (Care Compare)

1141 Hospital Dr NW
Harrison County Hospital
Corydon, IN 47112-2164
Phone (812) 738-7830

1184 Lacy LN
Lexington, KY 40513-1900
Phone (502) 596-7358

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 260-6061

807 Northgate Blvd
Priority Radiology
New Albany, IN 47150-6419
Phone (812) 949-0807

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150356CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
KND Development 59 LLC CurrentSince May 30, 2023 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Sep 1, 2022 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Northgate Medical Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2022 Accepting new patients
Stanford Health Care Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
KND Development 59, LLC CurrentSince May 30, 2023 Accepting new patients
Radiology Associates Inc Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

313 Federal Dr NW
Ste 20
Corydon, IN 47112
Phone (812) 734-3920

1214 Spring St
Ste 2
Jeffersonvlle, IN 47130
Phone (812) 206-8002

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

807 Northgate Blvd
New Albany, IN 47150
Phone (812) 206-8002

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

2530 Sir Barton Way
Ste 250
Lexington, KY 40509
Phone (859) 639-0030

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001

Organizations & group practices 9

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 5

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1548623325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-7717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRABORTY",
        "first_name": "AMIT",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "287105",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A150356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.