Kaushal Shambhubhai Chaudhari, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

72196 Issued in GA

Practice address

3063 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4003

Phone

(706) 841-7274

Fax

(706) 841-0434

NPI assigned

Mar 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 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

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
• Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
• Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
• Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057

  Family Medicine, GA

  Medicare reassignment Care Compare group NPD
• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545

  GA

  Medicare reassignment
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Ringgold, GA
  • NPI 1548218290
  Care Compare affiliation
• CHI Memorial Hospital - Georgia

  • General Acute Care Hospital
  • Ringgold, GA
  • NPI 1356860621
  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Chattanooga, TN
  • NPI 1326096009
  Care Compare affiliation
• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1750680104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424003",
            "telephone_number": "706-841-7274",
            "fax_number": "706-841-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Battlefield Parkway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "30736",
            "country_code": "US",
            "telephone_number": "706-861-4990",
            "fax_number": "706-861-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "KAUSHAL",
        "middle_name": "SHAMBHUBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "51510",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "72196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chadwick a. Smith, MD, PC
• Beverly Lynn Chapman, MS, LPC
• Charles Dunlap, DDS
• Heather Cooper Chastain, DPT
• Chattanooga Women'S Specialists PC
• CHI National Home Care, LLC
• Shelia Keresa Childers, PA-C
• Starlan James Childers
• Roger Fair Clem, CCC-A
• Anna M Cline, CNM

• Family Medicine Physician in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.