Individual provider Active NPI

Hannan Chaugle, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Webster, TX
National Provider Identifier
1730100660
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
R7414 Issued in TX
Practice address
450 W Medical Center Blvd Ste 600
Webster, TX 77598-4233
Phone
(281) 316-2612
Fax
(281) 316-2811
NPI assigned
Jul 23, 2006
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A97091 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD25493 OR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD60036943 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A97091 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X R7414 TX Primary

Addresses

Primary practice location

450 W Medical Center Blvd Ste 600
Webster, TX 77598-4233

Mailing address

450 W Medical Center Blvd Ste 600
Webster, TX 77598-4233
Phone (281) 316-2612

Other identifiers 2

IdentifierTypeStateIssuer
8455511MedicaidWA
0241714OtherWALABOR & INDUSTRIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ABDUL.CHAUGLE@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180828001590 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1355349499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Specialists of Clear Lake PLLCGroup PAC ID 6103904461, 10 clinicians

Practice addresses (Care Compare)

450 W Med Ctr Blvd
Webster, TX 77598-4233
Phone (281) 332-4596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97091CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60036943WAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Clear Lake PLLC CurrentSince Aug 1, 2018 Accepting new patients
Chca Clear Lake LP Past Accepting new patients
Hannan Chaugle M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 1990 Accepting new patients
Starr-Wood Cardiac Group of Portland PC Past Accepting new patients
Valley Heart Associates Medical Group Inc Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730100660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-316-2612",
            "fax_number": "281-316-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-316-2612",
            "fax_number": "281-316-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUGLE",
        "first_name": "HANNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A97091",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OR",
            "license": "MD25493",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD60036943",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A97091",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "R7414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8455511",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0241714",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ABDUL.CHAUGLE@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "450 W Medical Center Blvd Ste 600",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.