NPIMap

Individual provider Active NPI

Chirag Dave, M.D.

  • Pulmonary Disease Physician
  • Mount Vernon, IL
National Provider Identifier
1790725307
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036103078 Issued in IL
Practice address
209 Crossroads PL
Suite 110
Mount Vernon, IL 62864-6545
Phone
(618) 241-8791
Fax
(618) 241-8623
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036103078 IL Primary

Addresses

Primary practice location

209 Crossroads PL
Suite 110
Mount Vernon, IL 62864-6545

Mailing address

209 Crossroads PL
Suite 110
Mount Vernon, IL 62864-6545
Phone (618) 241-8791

Other practice location 1

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-7671

Other identifiers 3

IdentifierTypeStateIssuer
280207MedicaidSC
5901672MedicaidNC
371334126286402MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdave63531@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000757 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Emergency Medicine 8729077268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Illinois Medical Services NFPGroup PAC ID 3678677390, 331 clinicians
Ferrell Hospital Community FoundationGroup PAC ID 1355389453, 58 clinicians

Practice addresses (Care Compare)

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 252-0999

1201 Pine St
Eldorado, IL 62930-1634
Phone 61827333611660

1306 Maple St
Eldorado, IL 62930-1662

Hospital & facility affiliations

  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
55.9
Promoting interoperability
100
Improvement activities
40
Cost
72.01

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
90.64
Promoting interoperability
100
Improvement activities
40
Cost
68.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Hospital Community Foundation Pulmonary Disease CurrentSince Sep 30, 2022 Accepting new patients
Harrisburg Medical Center Inc CurrentSince Mar 1, 2020 Accepting new patients
Harrisburg Medical Center Inc Current Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Sep 24, 2024 Accepting new patients
Ferrell Hospital Community Foundation Pulmonary Disease CurrentSince Sep 30, 2022 Accepting new patients
Ferrell Hospital Community Foundation Current Accepting new patients
Ferrell Hospital Community Foundation Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

3106 Outer Dr
Marion, IL 62959
Phone (618) 997-4332

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

Interoperability endpoints

  • Direct secure messaging: cdave63299@direct.deaconess.com

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1790725307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CROSSROADS PL",
            "address_2": "SUITE 110",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646545",
            "telephone_number": "618-241-8791",
            "fax_number": "618-241-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CROSSROADS PL",
            "address_2": "SUITE 110",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646545",
            "telephone_number": "618-241-8791",
            "fax_number": "618-241-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Dr Warren Tuttle Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629462718",
            "country_code": "US",
            "telephone_number": "618-253-7671",
            "fax_number": "618-252-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "CHIRAG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036103078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280207",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901672",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371334126286402",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdave63531@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Dr Warren Tuttle Dr",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629462718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.