Active NPI
Khushbu Anirudhdha Chandarana, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Cary, NC
National Provider Identifier
1609084151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2011-00723
- Practice address
- 550 New Waverly PL
Suite 120
Cary, NC 27518-7412 - Phone
- (919) 642-3738
- Fax
- (919) 585-1554
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2011-00723 | NC | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA07958500 | NJ |
Addresses
Primary practice location
550 New Waverly PL
Suite 120
Cary, NC 27518-7412
Mailing address
550 New Waverly PL
Suite 120
Cary, NC 27518-7412
Phone (919) 642-3738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609084151 | Medicaid | NC |
Other names 1
- Khushbu Chandarana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-00723 | NC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWJ Hamilton Diabetes & Endocrinology Group PA | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Hamilton, NJ
- NPI 1548443237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1609084151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NEW WAVERLY PL",
"address_2": "SUITE 120",
"city": "CARY",
"state": "NC",
"postal_code": "275187412",
"telephone_number": "919-642-3738",
"fax_number": "919-585-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEW WAVERLY PL",
"address_2": "SUITE 120",
"city": "CARY",
"state": "NC",
"postal_code": "275187412",
"telephone_number": "919-642-3738",
"fax_number": "919-585-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDARANA",
"first_name": "KHUSHBU",
"middle_name": "ANIRUDHDHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "2011-00723",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA07958500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609084151",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KHUSHBU",
"last_name": "CHANDARANA",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.