Individual provider Active NPI

Upasana Bardhan Chakraborty, M.D.

  • Pulmonary Disease Physician
  • Chattanooga, TN
National Provider Identifier
1649459033
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01087314A Issued in IN
Practice address
979 East Third Street
Suite B-805
Chattanooga, TN 37403-2141
Phone
(423) 778-9101
Fax
(423) 778-4397
NPI assigned
Nov 1, 2007
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pulmonary Disease Physician 207RP1001X 48285 TN
Pulmonary Disease Physician 207RP1001X 01087314A IN Primary

Addresses

Primary practice location

979 East Third Street
Suite B-805
Chattanooga, TN 37403-2141

Mailing address

PO Box 11547
Chattanooga, TN 37401-2547
Phone (423) 778-3274

Other practice location 1

11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 46845-0025
Phone (260) 266-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120817000283 TN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3779739115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

979 E 3Rd St
Suite C735
Chattanooga, TN 37403-3310
Phone (423) 778-9101

979 E 3Rd St G
Chattanooga, TN 37403-2136
Phone (423) 778-7485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01087314AINMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 23, 2012 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 23, 2012 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Cookeville Regional Medical Group, Inc CurrentSince Nov 5, 2021 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

960 E 3rd St
Ste 208
Chattanooga, TN 37403
Phone (423) 778-2550

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste 708
Chattanooga, TN 37403
Phone (423) 778-2263

979 E 3rd St
Ste B805
Chattanooga, TN 37403
Phone (423) 778-4396

979 E 3rd St
Ste C735
Chattanooga, TN 37403
Phone (423) 778-9101

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1649459033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11547",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012547",
            "telephone_number": "423-778-3274",
            "fax_number": "423-778-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 EAST THIRD STREET",
            "address_2": "SUITE B-805",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032141",
            "telephone_number": "423-778-9101",
            "fax_number": "423-778-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11104 Parkview Circle Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468450025",
            "country_code": "US",
            "telephone_number": "260-266-7856",
            "fax_number": "260-266-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDHAN CHAKRABORTY",
        "first_name": "UPASANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "48285",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01087314A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.