Individual provider Active NPI

Santhosh K Cheela, MD

  • Gastroenterology Physician
  • Old Bridge, NJ
National Provider Identifier
1730169632
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA53855 Issued in NJ
Practice address
200 Perrine Rd
Suite #208
Old Bridge, NJ 08857-2842
Phone
(732) 525-0200
Fax
(732) 525-0275
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA53855 NJ Primary

Addresses

Primary practice location

200 Perrine Rd
Suite #208
Old Bridge, NJ 08857-2842

Mailing address

200 Perrine Rd
Suite #208
Old Bridge, NJ 08857-2842
Phone (732) 525-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110203000981 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 8123208477 Practice locations: Edison, NJ; Old Bridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Perrine Rd
Old Bridge, NJ 08857-2836
Phone (732) 525-0200

98 James St
Suite 105
Edison, NJ 08820-3902
Phone (732) 525-0200

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53855NJMDGastroenterology Physician

Hospital & facility affiliations 5

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1730169632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE #208",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-525-0200",
            "fax_number": "732-525-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE #208",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-525-0200",
            "fax_number": "732-525-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEELA",
        "first_name": "SANTHOSH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA53855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.