Active NPI
Shalini Chhabra, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Morgantown, KY
National Provider Identifier
1629141817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 44121
- Practice address
- 101 W Roberts St
Morgantown, KY 42261-7942 - Phone
- (270) 526-3841
- Fax
- (270) 526-2651
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 200500173 | NC | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 44121 | KY | Primary |
Addresses
Primary practice location
101 W Roberts St
Morgantown, KY 42261-7942
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 781-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005-00173 | Other | NC | LICENSE |
| 7100163090 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500173 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1629141817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011759",
"telephone_number": "270-781-5111",
"fax_number": "270-526-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W ROBERTS ST",
"city": "MORGANTOWN",
"state": "KY",
"postal_code": "422617942",
"telephone_number": "270-526-3841",
"fax_number": "270-526-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHABRA",
"first_name": "SHALINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "200500173",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "KY",
"license": "44121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2005-00173",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100163090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.