Sudeep Gopal Chakravorty, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 062000-L Issued in PA

Practice address

10008 Valleyview CT
Wexford, PA 15090-7101

Phone

(724) 934-0302

Fax

(724) 934-0302

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Invision Customized ServicesGroup PAC ID 2769914811, 4 clinicians

Milestone Centers Inc.Group PAC ID 7012991110, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

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.

• Invision Customized Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wexford, PA
  • NPI 1134206220

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Milestone Centers Inc.

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1841218757
  Medicare reassignment Care Compare group NPD
• Invision Integrated Behavioral Health

  • Counseling Psychologist
  • Wexford, PA
  • NPI 1083159859

  Psychiatry

  NPD
• Wpic Physician Practice Corp Inc

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1356319313
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1790769123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 VALLEYVIEW CT",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907101",
            "telephone_number": "724-934-0302",
            "fax_number": "724-934-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 VALLEYVIEW CT",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907101",
            "telephone_number": "724-934-0302",
            "fax_number": "724-934-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRAVORTY",
        "first_name": "SUDEEP",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 062000-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Ceraso, CRNP
• Nichol Jean Cerchiearo Glasspool
• Ronald G Cercone, M.D.
• Shawn Gregory Cernicky, D.C.
• Melanie Cetra, MED, NCC, LBS, LPC
• Richard Steele Chalfant, M.D.
• Chynna Kelsey Chan, DC
• Jonas Chan
• Vivian Chan, OTD/L
• Christine Renee Chapman, OTR/L

• Psychiatry Physician in Wexford, PA
• Providers in Wexford, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.