Individual provider Active NPI

Patricia Ann Androvich Chavarry, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Dover, DE
National Provider Identifier
1861601114
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
C2-0008573 Issued in DE
Practice address
492 Stone Ridge Dr
Dover, DE 19901-8211
Phone
(302) 535-4786
Fax
(302) 535-4786
NPI assigned
May 22, 2007
Last updated
Dec 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X C2-0008573 DE Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MB05808900 NJ

Addresses

Primary practice location

492 Stone Ridge Dr
Dover, DE 19901-8211

Mailing address

492 Stone Ridge Dr
Dover, DE 19901-8211
Phone (302) 535-4786

Other identifiers 1

IdentifierTypeStateIssuer
7277202MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20190219002152 DE Order and Referring Only - Family PracticePractitioner - Family Practice 5395815005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB05808900NJMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1861601114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 STONE RIDGE DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018211",
            "telephone_number": "302-535-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 STONE RIDGE DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018211",
            "telephone_number": "302-535-4786",
            "fax_number": "302-535-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROVICH CHAVARRY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DE",
            "license": "C2-0008573",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MB05808900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7277202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.