Balram L Chhajwani, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD018795 Issued in TN

Practice address

915 Clingan Ridge Dr NW
Cleveland, TN 37312-3729

Phone

(423) 339-3340

Fax

(423) 339-9927

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bradley Nephrology

  • Nephrology Physician
  • Cleveland, TN
  • NPI 1164823894
  NPD (past) Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1700850245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CLINGAN RIDGE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123729",
            "telephone_number": "423-339-3340",
            "fax_number": "423-339-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CLINGAN RIDGE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123729",
            "telephone_number": "423-339-3340",
            "fax_number": "423-339-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHAJWANI",
        "first_name": "BALRAM",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD018795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0440011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038952",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0087869",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chattanooga Orthopaedic Group, PC (The Center for Sports Medicine and Orthopaedics)
• Chattanooga Psychiatry Clinic PLLC
• Bayleigh Davis Cheatham, SLP-CCC
• Donna Cheek
• Cherokee Health Care Supply Inc
• Weng Leong Choy, MD
• Frances Christensen, P.T.
• Christopher N Mullin (Life Circle Pharmacy)
• Albert Anthony Clairmont Jr., M.D.
• Clarity Navigation LLC

• Nephrology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.