Active NPI
Krutarth Choksi, MD
- Psychiatry Physician
- Canton, OH
National Provider Identifier
1700969797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 81793
- Practice address
- 4974 Higbee Ave
Ste 209
Canton, OH 44718-2562 - Phone
- (330) 493-4553
- Fax
- (330) 493-3762
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 81793 | OH | |
| Psychiatry Physician | 2084P0800X | 81793 | OH | Primary |
Addresses
Primary practice location
4974 Higbee Ave
Ste 209
Canton, OH 44718-2562
Mailing address
4974 Higbee Avenue
Ste 209
Canton, OH 44718-2562
Phone (330) 493-4553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2362812 | Medicaid | OH |
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 |
|---|---|---|---|
| 81793 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Mental Health Management, Inc | Psychiatry | Past | Accepting new patients |
| Psycare, Inc. | Psychiatry | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Horizon Mental Health Management LLC | Psychiatry | Past | Accepting new patients |
| Psycare, Inc. | Past | Accepting new patients | |
| K Choksi MD Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Child & Adolescent Psychiatry Physician
- Cuyahoga Falls, OH
- NPI 1174731814
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Community/Behavioral Health Agency
- Struthers, OH
- NPI 1104462589
-
- Psychiatry Physician
- Lewisville, TX
- NPI 1255380176
-
- Psychiatry Physician
- Lewisville, TX
- NPI 1962452060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1700969797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 HIGBEE AVENUE",
"address_2": "STE 209",
"city": "CANTON",
"state": "OH",
"postal_code": "447182562",
"telephone_number": "330-493-4553",
"fax_number": "330-493-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 HIGBEE AVE",
"address_2": "STE 209",
"city": "CANTON",
"state": "OH",
"postal_code": "447182562",
"telephone_number": "330-493-4553",
"fax_number": "330-493-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOKSI",
"first_name": "KRUTARTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "81793",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "81793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2362812",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.