Ram Khattri Chettri, FNP-C, MS, MATS, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28166834A Issued in IN

Practice address

1855 S Main Street
Suite a, Heart & Vascular Center
Goshen, IN 46526-4723

Phone

(574) 533-7476

Fax

(574) 538-5147

NPI assigned

Oct 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: ram.khattrichettri@goshenhealthdirect.com

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1679808919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 S MAIN STREET",
            "address_2": "SUITE A, HEART & VASCULAR CENTER",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264723",
            "telephone_number": "574-533-7476",
            "fax_number": "574-538-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S MAIN STREET",
            "address_2": "SUITE A, HEART & VASCULAR CENTER",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264723",
            "telephone_number": "574-533-7476",
            "fax_number": "574-538-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTRI CHETTRI",
        "first_name": "RAM",
        "credential": "FNP-C, MS, MATS, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28166834A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200959670",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ram.khattrichettrinp.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main Street",
            "address_2": "Suite A, Heart & Vascular Center",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ram.khattrichettri@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main Street",
            "address_2": "Suite A, Heart & Vascular Center",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Goshen, IN
• Providers in Goshen, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.