Chetna Mital MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35053073 Issued in OH

Legal business name

CHETNA MITAL MD LLC

Practice address

1010 Cereal Ave
Suite 307
Hamilton, OH 45013

Phone

(513) 867-2622

Fax

(513) 844-2093

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Chetna Mital, M.D.NPI 1285637694

Title

President

Phone

(513) 867-2622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAFIAD

Practitioners 3

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.

• Chetna Mital

  • Internal Medicine Physician
  • Hamilton, OH
  • NPI 1285637694
  NPD Authorized official
• Angela L Smith, FNP

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1669921771
  Medicare reassignment
• Stefanie Lynn Hiltz, DNP, ACNP-BC

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1730405556
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1659409886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE STE 103",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132776",
            "telephone_number": "513-867-2622",
            "fax_number": "513-844-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "SUITE 307",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-867-2622",
            "fax_number": "513-844-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETNA MITAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MITAL",
        "authorized_official_first_name": "CHETNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-867-2622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35053073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0660520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chatterbox Speech Services LLC
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• Erneen Cherry
• Jeffrey Brock Cherry, OD
• Patricia Childers
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• Childrens Diagnostic Center (CDC Mental Health Services)
• Annemarie Chiodi, MA, CCC-SLP
• Chiropractic Wellness Center

• Internal Medicine Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.