Individual provider Active NPI

Chetan S. Deshpande, MD

  • Orthopaedic Trauma Physician
  • Savannah, GA
National Provider Identifier
1871709824
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
063314 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
Fax
(912) 351-0645
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 063314 GA
Orthopaedic Trauma Physician 207XX0801X 063314 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Other practice location 1

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615

Other identifiers 4

IdentifierTypeStateIssuer
146082906CMedicaidGA
559738OtherGAWELLCARE
GA1084MedicaidSC
P00869905OtherGARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091106000400 GA Practitioner - Orthopedic Surgery 2961540299 Reassigns benefits to 4 organizations
I20200715002613 SC Practitioner - Orthopedic Surgery 2961540299

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Evans Orthopedic Clinic LLCGroup PAC ID 5890153134, 3 clinicians
Effingham Orthopedic Practice, LLCGroup PAC ID 4385927771, 23 clinicians

Practice addresses (Care Compare)

271 Old Barn Rd
Hendersonville, NC 28791-8406
Phone (828) 890-4905

310 N River St
Claxton, GA 30417-5920
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

613 Towne Park Dr W
Suite 303 304
Rincon, GA 31326-5182
Phone (912) 355-6615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.29 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
80.45

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement80
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063314GAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Orthopedic Clinic LLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
MPPG, Inc. CurrentSince Aug 23, 2010 Accepting new patients
Effingham Orthopedic Practice, LLC Orthopaedic Surgery CurrentSince Jan 1, 2017 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients

Locations

310 N River St
Claxton, GA 30417

613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4425 Paulsen St
Bldg A
Savannah, GA 31405
Phone (912) 350-6000

4750 Waters Ave
Ste 202
Savannah, GA 31404
Phone 9123505970 ext. 5994

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: chetan.deshpande.2@18355.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1871709824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229579",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "CHETAN",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "063314",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "GA",
            "license": "063314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146082906C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "559738",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1084",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00869905",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.