Active NPI
Kiran Chava, M.D.
- Internal Medicine Physician
- Kenner, LA
National Provider Identifier
1629176771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD14608R
- Practice address
- 2120 Driftwood Blvd
Kenner, LA 70065-3574 - Phone
- (504) 443-9500
- Fax
- (504) 443-9522
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14608R | LA | |
| Internal Medicine Physician | 207R00000X | MD14608R | LA | Primary |
Addresses
Primary practice location
2120 Driftwood Blvd
Kenner, LA 70065-3574
Mailing address
708 W Esplanade Ave
Kenner, LA 70065-2736
Phone (504) 842-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01303541 | Medicaid | MS | |
| 1460541 | Medicaid | LA |
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 |
|---|---|---|---|
| 14608R | LA | MD | Internal Medicine Physician |
| MD14608R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital City Medical Group, L.L.C. | Internal Medicine | Past | Accepting new patients |
| Metairie Physician Services Inc. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- kiran.chava@direct.ejgh.org
Organizations & group practices 2
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.
-
dba Primary Care Plus
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1144522855
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1629176771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652736",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 DRIFTWOOD BLVD",
"city": "KENNER",
"state": "LA",
"postal_code": "700653574",
"telephone_number": "504-443-9500",
"fax_number": "504-443-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVA",
"first_name": "KIRAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "14608R",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD14608R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01303541",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1460541",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
- Charles N Aprill M D PMC
- Chateau Home Health
- Chateau Living Center of Kenner, LLC (Chateau Living Center)
- Chateau Living Center, L.L.C. (Chateau Living Center)
- Laura Casteel Chauvin, MD
- Karen Chavez-Jones, MSN, APRN, FNP-C
- Chedly Schatzie Vincent DMD LLC
- Mohammad Hammad Cheema, M.D.
- Simon Cheng
- Cheryl Marie Chesser
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.