Individual provider Active NPI

Chaitanya B Chavda, MD

  • Neonatal-Perinatal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1710160692
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
N8773 Issued in TX
Practice address
4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 75052-3087
Phone
(972) 217-4203
Fax
(833) 784-1531
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N8773 TX
Neonatal-Perinatal Medicine Physician 2080N0001X N8773 TX Primary

Addresses

Primary practice location

4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 75052-3087

Mailing address

4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 75052-3087
Phone (972) 217-4203

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
N8773TXMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Doctors of North Texas PLLC CurrentSince Mar 1, 2022 Accepting new patients
Precision Cardiac and Vascular Care, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Midland County Hospital District Past Accepting new patients

Locations

4927 Lake Ridge Pkwy
Ste 148
Grand Prairie, TX 75052
Phone (469) 290-6693

221 Regency Pkwy
Ste 125
Mansfield, TX 76063
Phone (817) 477-5884

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26825/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25382/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1710160692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 148",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523087",
            "telephone_number": "972-217-4203",
            "fax_number": "833-784-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 148",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523087",
            "telephone_number": "972-217-4203",
            "fax_number": "833-784-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVDA",
        "first_name": "CHAITANYA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8773",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "N8773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.