Individual provider Active NPI

Chitra Chinnaswamy, MD

  • Psychiatry Physician
  • Riverside, MO
National Provider Identifier
1740388933
Registry record updated Feb 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD100594 Issued in MO
Practice address
1801 NW Platte Rd
Ste 200
Riverside, MO 64150-7509
Phone
(816) 454-8475
Fax
(816) 454-8487
NPI assigned
Sep 20, 2006
Last updated
Feb 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2014

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 MD100594 MO Primary

Addresses

Primary practice location

1801 NW Platte Rd
Ste 200
Riverside, MO 64150-7509

Mailing address

1801 NW Platte Rd
Ste 200
Riverside, MO 64150-7509
Phone (816) 454-8475

Other identifiers 1

IdentifierTypeStateIssuer
208536623MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090803000722 MO Practitioner - PsychiatryPractitioner - Neurology 7719030147 Reassigns benefits to 1 organization
Practice locations: Riverside, MO

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1801 NW Platte Rd
Suite 200
Riverside, MO 64150-7509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD100594MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Aug 26, 2019 Accepting new patients
Swope Health Services CurrentSince Aug 26, 2019 Accepting new patients
Swope Health Services Current Accepting new patients

Locations

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

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, 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391817600000",
    "number": "1740388933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW PLATTE RD",
            "address_2": "STE 200",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641507509",
            "telephone_number": "816-454-8475",
            "fax_number": "816-454-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW PLATTE RD",
            "address_2": "STE 200",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641507509",
            "telephone_number": "816-454-8475",
            "fax_number": "816-454-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNASWAMY",
        "first_name": "CHITRA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MD100594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208536623",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, MO

Sources for this page

Verify at the official NPI Registry.