Individual provider Active NPI

Chaula P. Patel, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1861570558
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203633 Issued in NY
Practice address
1560 Grand Concourse
Suite 102
Bronx, NY 10457-8402
Phone
(718) 733-6369
Fax
(718) 294-4365
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203633 NY Primary

Addresses

Primary practice location

1560 Grand Concourse
Suite 102
Bronx, NY 10457-8402

Mailing address

30 McGeory Ave
Yonkers, NY 10708-6615
Phone (718) 733-6369

Other identifiers 1

IdentifierTypeStateIssuer
01740909MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090717000552 NY Practitioner - Internal Medicine 8022160258 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 590-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203633NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Towers Medical P.C. CurrentSince Jul 16, 2009 Accepting new patients
Bedford Park Medical PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1560 Grand Concourse
Apt 102A
Bronx, NY 10457
Phone (917) 792-2087

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: chaula.patel@ttm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFEEAA/Endpoint/HFEEAA

Organizations & group practices 7

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1861570558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MCGEORY AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107086615",
            "telephone_number": "718-733-6369",
            "fax_number": "718-294-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GRAND CONCOURSE",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578402",
            "telephone_number": "718-733-6369",
            "fax_number": "718-294-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHAULA",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01740909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.