Individual provider Active NPI

Krutarth Choksi, MD

  • Psychiatry Physician
  • Canton, OH
National Provider Identifier
1700969797
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
81793 Issued in OH
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

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2362812MedicaidOH

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

LicenseStateTypeSpecialty
81793OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jun 14, 2004 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.

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.

Verify at the official NPI Registry.