NPIMap

Individual provider Active NPI

Krishan Shivam Chaddha, DO

  • Emergency Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1851829212
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A16971 Issued in CA
Practice address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone
(760) 340-3911
Fax
(760) 773-1440
NPI assigned
May 30, 2017
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 20A16971 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415001238 CA Practitioner - Emergency Medicine 3476961251 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Emergency Medical AssociatesGroup PAC ID 8123120078, 13 clinicians
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians
MD Karan Singh Professional CorpGroup PAC ID 6800235458, 30 clinicians

Practice addresses (Care Compare)

11370 Anderson St
Loma Linda, CA 92354-3450

17772 Beach Blvd
Huntington Beach, CA 92647-6819
Phone (714) 843-5011

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

600 N Highland Springs Ave
Banning, CA 92220-3046
Phone (833) 443-6287

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16971CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center Single Specialty Current Accepting new patients
Priority Urgent Care Single Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2025 Accepting new patients
Orange County Emergency Medical Associates, Inc. Single Specialty CurrentSince Jan 11, 2026 Accepting new patients
Eisenhower Medical Center CurrentSince Apr 18, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Eisenhower Medical Center CurrentSince Apr 18, 2022 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Sunshine Physician Services, PC Single Specialty CurrentSince Mar 1, 2021 Accepting new patients
Priority Urgent Care Single Specialty CurrentSince Nov 11, 2023 Accepting new patients
MD Karan Singh Professional Corp Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Single Specialty CurrentSince Jun 22, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

1345 Allen Rd
Ste 300
Bakersfield, CA 93314
Phone (661) 556-4777

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

4821 Panama Ln
Ste Ac
Bakersfield, CA 93313
Phone (661) 556-4777

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 5

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1851829212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDHA",
        "first_name": "KRISHAN",
        "middle_name": "SHIVAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A16971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.