Individual provider Active NPI

Puneet Kaur Chahal, MD

  • Infectious Disease Physician
  • Santa Ana, CA
National Provider Identifier
1811155476
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A88986 Issued in CA
Practice address
720 N Tustin Ave
201
Santa Ana, CA 92705-3606
Phone
(714) 664-0045
Fax
(714) 664-0049
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A88986 CA Primary

Addresses

Primary practice location

720 N Tustin Ave
201
Santa Ana, CA 92705-3606

Mailing address

2321 E 4TH St Ste C637
Santa Ana, CA 92705-3861
Phone (714) 664-0045

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20091106000355 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 5193863421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Associates of Orange County IncGroup PAC ID 9234432915, 7 clinicians

Practice addresses (Care Compare)

999 N Tustin Ave
Suite 224
Santa Ana, CA 92705-6506
Phone (714) 664-0045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.34 of 100Reported as individual
Quality
69.33
Improvement activities
0
Cost
72.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates of Orange County, Inc. Infectious Disease CurrentSince Feb 21, 2016 Accepting new patients
Newport Coast Infectious Disease Medical Corp Infectious Disease Past Accepting new patients

Locations

720 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 541-3570

999 N Tustin Ave
Ste 109
Santa Ana, CA 92705
Phone (714) 664-0045

2321 E 4th St
Ste C637
Santa Ana, CA 92705

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 6

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1811155476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E 4TH ST STE C637",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053861",
            "telephone_number": "714-664-0045",
            "fax_number": "714-664-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE",
            "address_2": "201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "714-664-0045",
            "fax_number": "714-664-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "PUNEET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A88986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.