Individual provider Active NPI

Saba Atiq Chughtai, M.D.

  • Psychiatry Physician
  • Mason, OH
National Provider Identifier
1720027824
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35082515 Issued in OH
Practice address
5740 Gateway
Ste 104
Mason, OH 45040-1893
Phone
(513) 234-7870
Fax
(513) 234-7836
NPI assigned
Jun 5, 2006
Last updated
Aug 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35082515 OH Primary

Addresses

Primary practice location

5740 Gateway
Ste 104
Mason, OH 45040-1893

Mailing address

5740 Gateway
Ste 104
Mason, OH 45040-1893
Phone (513) 234-7870

Other identifiers 1

IdentifierTypeStateIssuer
2485225MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000049 OH Practitioner - Psychiatry 0648266080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saba a Chughtai, LLCGroup PAC ID 9739231937, 3 clinicians

Practice addresses (Care Compare)

5740 Gateway
Suite 104
Mason, OH 45040-1893
Phone (513) 234-7870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35082515OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saba a Chughtai LLC Psychiatry CurrentSince May 31, 2009 Accepting new patients
Southwest Alabama Mental Health/Mental Retardation Inc. Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients
Psychiatric Professional Services Psychiatry Past Accepting new patients
Professional Psychiatric Services, LLC Psychiatry Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems PastSince Sep 16, 1996 Accepting new patients

Locations

5740 Gateway
Ste 104
Mason, OH 45040
Phone (513) 234-7870

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1720027824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 GATEWAY",
            "address_2": "STE 104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401893",
            "telephone_number": "513-234-7870",
            "fax_number": "513-234-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GATEWAY",
            "address_2": "STE 104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401893",
            "telephone_number": "513-234-7870",
            "fax_number": "513-234-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGHTAI",
        "first_name": "SABA",
        "middle_name": "ATIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35082515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2485225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.