Individual provider Active NPI

Prasanna Chinthala, M.D

  • Psychiatry Physician
  • Carmel, IN
National Provider Identifier
1902913718
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01063241A Issued in IN
Practice address
3557 Corsham Cir
Carmel, IN 46032-8211
Phone
(317) 281-6586
NPI assigned
Aug 25, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301085676 MI
Psychiatry Physician 2084P0800X 01063241A IN Primary

Addresses

Primary practice location

3557 Corsham Cir
Carmel, IN 46032-8211

Mailing address

3557 Corsham Cir
Carmel, IN 46032-8211
Phone (317) 281-6586

Other identifiers 1

IdentifierTypeStateIssuer
20880700AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20071212000666 IN Practitioner - Psychiatry 2062502149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinthala, PCGroup PAC ID 5294813168, 2 clinicians

Practice addresses (Care Compare)

3557 Corsham Cir
Carmel, IN 46032-8211
Phone (317) 281-6586

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063241AINMDPsychiatry Physician
4301085676MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinthala, PC Psychiatry CurrentSince Feb 18, 2008 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Psychiatry PastSince Mar 1, 2010 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1902913718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 CORSHAM CIR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328211",
            "telephone_number": "317-281-6586",
            "fax_number": "800-243-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 CORSHAM CIR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328211",
            "telephone_number": "317-281-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINTHALA",
        "first_name": "PRASANNA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301085676",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01063241A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20880700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.