Organization Active NPI

Nova Pediatrics and Adolescent Medicine, Inc

  • Pediatrics Physician
  • Springfield, OH
National Provider Identifier
1811070691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35056393C Issued in OH
Legal business name
NOVA PEDIATRICS AND ADOLESCENT MEDICINE, INC
Practice address
218 Northparke Drive
Suite B
Springfield, OH 45503-1179
Phone
(937) 399-7221
NPI assigned
Oct 23, 2006
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
Vijay Kumar Chitkara, M.D.NPI 1033182373
Title
Physician
Phone
(937) 399-7221

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35056393C OH Primary

Addresses

Primary practice location

218 Northparke Drive
Suite B
Springfield, OH 45503-1179

Mailing address

218 Northparke Dr Ste B
Springfield, OH 45503-1179
Phone (937) 399-7221

Other identifiers 1

IdentifierTypeStateIssuer
0691096MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0701342Nova Pediatrics & Adolescent Med Inc218 Northparke Drive Suite B, Springfield, OH 45503Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

218 Northparke Dr
Ste B
Springfield, OH 45503
Phone (937) 399-7221

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811070691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NORTHPARKE DR STE B",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031179",
            "telephone_number": "937-399-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 NORTHPARKE DRIVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031179",
            "telephone_number": "937-399-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PEDIATRICS AND ADOLESCENT MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHITKARA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-399-7221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35056393C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0691096",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

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 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.