Individual provider Active NPI

Chatur J Babaria, MD

  • Family Medicine Physician
  • Queen Creek, AZ
National Provider Identifier
1568514404
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32966 Issued in AZ
Practice address
22707 S Ellsworth Rd
Ste H-103
Queen Creek, AZ 85142-6131
Phone
(480) 677-3494
Fax
(480) 677-4319
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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 32966 AZ Primary

Addresses

Primary practice location

22707 S Ellsworth Rd
Ste H-103
Queen Creek, AZ 85142-6131

Mailing address

22707 S Ellsworth Rd
Ste H-103
Queen Creek, AZ 85142-6131
Phone (480) 677-3494

Other identifiers 1

IdentifierTypeStateIssuer
895104MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070302000454 AZ Practitioner - Family PracticePractitioner - Nuclear Medicine 5991807331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Nuclear Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22707 S Ellsworth Rd
Suite H103
Queen Creek, AZ 85142-7569
Phone (480) 677-3494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32966AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatur J Babaria MD PC Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Past Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Past Accepting new patients
Tbird Hospitalist Group, LLC Past Accepting new patients

Locations

22707 S Ellsworth Rd
#H1
Queen Creek, AZ 85142

22707 S Ellsworth Rd
Ste H103
Queen Creek, AZ 85142
Phone (480) 677-3494

22707 S Ellsworth Rd
#H103
Queen Creek, AZ 85142

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1568514404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22707 S ELLSWORTH RD",
            "address_2": "STE H-103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426131",
            "telephone_number": "480-677-3494",
            "fax_number": "480-677-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22707 S ELLSWORTH RD",
            "address_2": "STE H-103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426131",
            "telephone_number": "480-677-3494",
            "fax_number": "480-677-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABARIA",
        "first_name": "CHATUR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895104",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.