Individual provider Active NPI

Atchutha Geetha Chan Chilakamarri, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Frederick, MD
National Provider Identifier
1750508958
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
D69568 Issued in MD
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(240) 566-3031
NPI assigned
Apr 19, 2007
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X D69568 MD Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD037199 DC

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8812

Other practice location 1

10110 Molecular Drive
suite 206
Rockville, MD 20850
Phone (301) 279-2779

Other practice location 2

10110 Molecular Drive
suite 206
Rockville, MD 20850
Phone (301) 279-2779

Other practice location 3

10110 Molecular Drive
suite 206
Rockville, MD 20850
Phone (301) 279-2779

Other practice location 4

1183 Luther Dr
Hagerstown, MD 21740-7407
Phone (301) 790-3001

Other identifiers 1

IdentifierTypeStateIssuer
418857801MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100125000080 DC Practitioner - Geriatric Medicine 7719029149 Reassigns benefits to 3 organizations
I20180215002467 MD Practitioner - Family Practice 7719029149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 S Main St
Boonsboro, MD 21713-1203
Phone (240) 393-6880

303 Adclare Rd
Rockville, MD 20850-3825
Phone (240) 393-6880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Jan 6, 2020 Accepting new patients
M Medical Group, Inc. Current Accepting new patients
Hebrew Home of Greater Washington Inc CurrentSince Apr 1, 2010 Accepting new patients
Srig Med LLC Geriatric Medicine CurrentSince Aug 10, 2022 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 14, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jan 6, 2020 Accepting new patients
Hebrew Home of Greater Washington Inc Geriatric Medicine CurrentSince Apr 1, 2010 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
M Medical Group, Inc. CurrentSince Jul 14, 2022 Accepting new patients
Varahe Health Services LLC Geriatric Medicine CurrentSince Jul 12, 2024 Accepting new patients
Frederick Health Hospital Inc PastSince Oct 30, 2013 Accepting new patients

Locations

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

21030 Frederick Rd
Ste 102
Germantown, MD 20876

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

6121 Montrose Rd
Rockville, MD 20852
Phone (301) 770-8377

Organizations & group practices 11

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 4

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1750508958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8812",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024920",
            "telephone_number": "240-566-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10110 Molecular Drive",
            "address_2": "suite 206",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20850",
            "country_code": "US",
            "telephone_number": "301-279-2779",
            "fax_number": "301-279-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10110 Molecular Drive",
            "address_2": "suite 206",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20850",
            "country_code": "US",
            "telephone_number": "301-279-2779",
            "fax_number": "301-279-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10110 Molecular Drive",
            "address_2": "suite 206",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20850",
            "country_code": "US",
            "telephone_number": "301-279-2779",
            "fax_number": "301-279-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1183 Luther Dr",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217407407",
            "country_code": "US",
            "telephone_number": "301-790-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILAKAMARRI",
        "first_name": "ATCHUTHA GEETHA CHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D69568",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DC",
            "license": "MD037199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418857801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.