Individual provider Active NPI

Vijay Kumar Chhabra, M.D.

  • Hematology & Oncology Physician
  • Milford, CT
National Provider Identifier
1871591578
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
041905 Issued in CT
Practice address
849 Boston Post Rd
Suite 100
Milford, CT 06460-3537
Phone
(203) 882-9608
NPI assigned
Jul 7, 2005
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 041905 CT Primary

Addresses

Primary practice location

849 Boston Post Rd
Suite 100
Milford, CT 06460-3537

Mailing address

849 Boston Post Rd
Suite 100
Milford, CT 06460-3537
Phone (203) 882-9608

Other identifiers 3

IdentifierTypeStateIssuer
06-1088532OtherTAX ID #
004218451MedicaidCT
001419052MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040226000280 CT Practitioner - Hematology/Oncology 6103712120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care of Connecticut LLCGroup PAC ID 2668547399, 2 clinicians

Practice addresses (Care Compare)

849 Boston Post Rd
Suite 100
Milford, CT 06460-3537
Phone (203) 882-9608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001246NYMDPsychoanalyst
002146NYMDBehavioral Analyst
041905CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care of Connecticut LLC CurrentSince Jul 10, 2008 Accepting new patients
Oncology Hematology Care of Connecticut LLC Hematology & Oncology Past Accepting new patients
Hemant Patel MD PC Past Accepting new patients
Metabolism Associates PC PastSince Sep 1, 2008 Accepting new patients
Long Island College Hospital Past Accepting new patients

Locations

2543 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-4160

40 Commerce Park
Milford, CT 06460
Phone (203) 878-3531

849 Boston Post Rd
Ste 100
Milford, CT 06460
Phone (203) 882-9608

Interoperability endpoints

  • Direct secure messaging: vchhabra2761@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1871591578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BOSTON POST RD",
            "address_2": "SUITE 100",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603537",
            "telephone_number": "203-882-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 BOSTON POST RD",
            "address_2": "SUITE 100",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603537",
            "telephone_number": "203-882-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "VIJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "041905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "06-1088532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004218451",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001419052",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.