Individual provider Active NPI

Gagan S Chadha, MD

  • Internal Medicine Physician
  • West Lafayette, IN
National Provider Identifier
1568430874
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01048719A Issued in IN
Practice address
166 Sagamore Pkwy W
West Lafayette, IN 47906-1569
Phone
(765) 497-2428
Fax
(765) 497-4251
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 01048719A IN Primary

Addresses

Primary practice location

166 Sagamore Pkwy W
West Lafayette, IN 47906-1569

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Other identifiers 1

IdentifierTypeStateIssuer
200212530MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gaganchadha@idx.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040713001461 IN Practitioner - Internal Medicine 0244123214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

166 Sagamore Pkwy W
Garan Chadha MD
West Lafayette, IN 47906-1569
Phone (765) 449-2458

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048719AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare, LLC Internal Medicine Current Accepting new patients
Unity Healthcare, LLC CurrentSince May 1, 2005 Accepting new patients
Unity Healthcare LLC CurrentSince May 1, 2005 Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556

166 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 449-2458

Interoperability endpoints

  • Direct secure messaging: gaganchadha@idx.allscriptsdirect.net

Organizations & group practices 4

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1568430874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-497-2428",
            "fax_number": "765-497-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "GAGAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048719A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200212530",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gaganchadha@idx.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "166 Sagamore Pkwy W",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.