Shaswita Chintalpuri, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53549 Issued in MN

Practice address

7500 80TH Street South, Suite 100 - Mail Stop 34624a
Healthpartners Cottage Grove Clinic
Cottage Grove, MN 55016-3008

Phone

(651) 415-4100

Fax

(651) 415-4101

NPI assigned

Oct 29, 2007

Last updated

Dec 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1821277716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5375",
            "fax_number": "651-415-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 80TH STREET SOUTH, SUITE 100 - MAIL STOP 34624A",
            "address_2": "HEALTHPARTNERS COTTAGE GROVE CLINIC",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163008",
            "telephone_number": "651-415-4100",
            "fax_number": "651-415-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINTALPURI",
        "first_name": "SHASWITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL10540",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "53549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cenacle Care Services LLC
• Centered Care Living
• CG Care Center, LLC. (Norris Square Care Center)
• Chad Beiler D.C., P.a. (MN Spine and Sport)
• Sue Ann Chamberlain
• Victoria Chiou, M.D.
• Frances E Churchill
• City of Cottage Grove (Cottage Grove EMS)
• Casandra Jewel Clark
• Comfortcare Services Co

• Family Medicine Physician in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.