Organization Active NPI

Uday Chauhan MD PA

  • Internal Medicine Physician
  • Orange City, FL
National Provider Identifier
1790814770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73576 Issued in FL
Legal business name
UDAY CHAUHAN MD PA
Practice address
2720 Rebecca LN
Suite 101
Orange City, FL 32763-8351
Phone
(386) 456-5159
Fax
(386) 456-0139
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Uday Chauhan, MDNPI 1194750695
Title
Medical Doctor
Phone
(386) 456-5159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME73576 FL Primary

Addresses

Primary practice location

2720 Rebecca LN
Suite 101
Orange City, FL 32763-8351

Mailing address

2720 Rebecca LN
Suite 101
Orange City, FL 32763-8351
Phone (386) 456-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000053 FL Part B Supplier - Clinic/Group Practice 3375647373 Receives reassigned benefits from 1 practitioner
Practice locations: Orange City, FL

National Provider Directory

National Provider Directory

Locations

2720 Rebecca Ln
Ste 101
Orange City, FL 32763
Phone (386) 456-5159

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790814770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 REBECCA LN",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638351",
            "telephone_number": "386-456-5159",
            "fax_number": "386-456-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 REBECCA LN",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638351",
            "telephone_number": "386-456-5159",
            "fax_number": "386-456-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDAY CHAUHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "386-456-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.