NPIMap

Individual provider Active NPI

Amandeep Singh Chadha, MD

  • Nephrology Physician
  • Ogden, UT
National Provider Identifier
1881635845
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
8710941-1205 Issued in UT
Practice address
4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103
Phone
(385) 350-8500
Fax
(385) 350-8555
NPI assigned
Jun 9, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9708 ND
Hospitalist Physician 208M00000X 8710941-1205 UT
Nephrology Physician 207RN0300X 8710941-1205 UT Primary

Addresses

Primary practice location

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103

Mailing address

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103
Phone (385) 350-8500

Other practice location 1

3584 W 9000 S Ste 305
West Jordan, UT 84088-4775
Phone (385) 350-8500

Other practice location 2

24 S 1100 E Ste 310
Salt Lake City, UT 84102-4507
Phone (385) 350-8500

Other identifiers 4

IdentifierTypeStateIssuer
8710941-1205OtherUTUTAH LICENSE
VAD000OtherVA'S UPIN NUMBER
13269MedicaidND
827112700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140218000086 UT Practitioner - NephrologyPractitioner - Internal Medicine 8527024470 Reassigns benefits to 3 organizations
I20180604002360 ID Practitioner - Nephrology 8527024470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

164 S
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840

4345 Harrison Blvd
Suite 101
Ogden, UT 84403-3103
Phone (385) 350-8500

465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

467 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9708NDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Kidney Institute LLP Nephrology CurrentSince Jul 1, 2019 Accepting new patients
Ogden Clinic Specialty Services LLC CurrentSince Jan 1, 2023 Accepting new patients
Bear Lake County Memorial Hospital Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Tanner Memorial Clinic Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince May 1, 2018 Accepting new patients
Tanner Memorial Clinic CurrentSince Jun 1, 2020 Accepting new patients
Ogden Clinic PC Internal Medicine Current Accepting new patients
Utah Kidney Institute, LLC Nephrology CurrentSince Apr 29, 2020 Accepting new patients
Gammawest Brachytherapy, LLC Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Nephrology Past Accepting new patients
Roswell Hospital Corporation Internal Medicine Past Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555

2375 E Sunnyside Rd
Ste F
Idaho Falls, ID 83404
Phone (208) 217-9099

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

1750 E 3100 N
Layton, UT 84040
Phone (385) 405-2252

4287 Harrison Blvd
Ogden, UT 84403

4345 Harrison Blvd
#101
Ogden, UT 84403
Phone (385) 350-8500

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

24 S 1100 E
Ste 310
Slc, UT 84102
Phone (801) 328-1260

4700 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-3300

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

2038 W 1900 S
Syracuse, UT 84075
Phone (801) 773-7899

5315 S 500 E
Washington Terrace, UT 84405
Phone (801) 476-4448

3584 W 9000 S
Ste 305
West Jordan, UT 84088
Phone (385) 350-8500

Interoperability endpoints

  • Direct secure messaging: achadha642177@direct.ochin.org
  • Direct secure messaging: amandeep.chadha.1@27381.direct.athenahealth.com
  • Direct secure messaging: amandeep.chadha.p1@direct.tannerclinic.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/27381/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Organizations & group practices 13

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 13

Hospital & facility affiliations 10

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1881635845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 W 9000 S Ste 305",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840884775",
            "country_code": "US",
            "telephone_number": "385-350-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 S 1100 E Ste 310",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841024507",
            "country_code": "US",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "AMANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "9708",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "8710941-1205",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "8710941-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH LICENSE",
            "identifier": "8710941-1205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA'S UPIN NUMBER",
            "identifier": "VAD000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13269",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827112700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.