Organization Active NPI

Robi P Chatterji MD PC

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1619992864
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBI P CHATTERJI MD PC
Practice address
3201 N Van Buren St
Suite 400
Enid, OK 73703-1800
Phone
(580) 237-1877
Fax
(580) 237-2872
NPI assigned
Jul 12, 2006
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Dr. Robi P Chatterji, M.D.NPI 1750322459
Title
President
Phone
(580) 237-1877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3201 N Van Buren St
Suite 400
Enid, OK 73703-1800

Mailing address

3201 N Van Buren St
Suite 400
Enid, OK 73703-1800
Phone (580) 237-1877

Other identifiers 3

IdentifierTypeStateIssuer
080158359OtherOKRAILROAD MEDICARE
441701036002OtherOKBLUE CROSS BLUE SHIELD
100096370AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060901000327 OK Part B Supplier - Clinic/Group Practice 6901800010 Receives reassigned benefits from 1 practitioner
Practice locations: Enid, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1016521Robi P Chatterji MD3201 North Van Buren 400, Enid, OK 73703Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1619992864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN ST",
            "address_2": "SUITE 400",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031800",
            "telephone_number": "580-237-1877",
            "fax_number": "580-237-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN ST",
            "address_2": "SUITE 400",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031800",
            "telephone_number": "580-237-1877",
            "fax_number": "580-237-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBI P CHATTERJI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CHATTERJI",
        "authorized_official_first_name": "ROBI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-237-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080158359",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "441701036002",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.