Individual provider Active NPI

Til Pokwal Chhetri

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1780120279
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1394 Jackson St
105
Saint Paul, MN 55117-4629
Phone
(651) 621-9019
Fax
(651) 207-8436
NPI assigned
Jan 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1394 Jackson St
105
Saint Paul, MN 55117-4629

Mailing address

1394 Jackson St
105
Saint Paul, MN 55117-4629
Phone (651) 621-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1780120279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 JACKSON ST",
            "address_2": "105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174629",
            "telephone_number": "651-621-9019",
            "fax_number": "651-207-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 JACKSON ST",
            "address_2": "105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174629",
            "telephone_number": "651-621-9019",
            "fax_number": "651-207-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKWAL CHHETRI",
        "first_name": "TIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.