Active NPI
Prasanna Chinthala, M.D
- Psychiatry Physician
- Carmel, IN
National Provider Identifier
1902913718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01063241A
- Practice address
- 3557 Corsham Cir
Carmel, IN 46032-8211 - Phone
- (317) 281-6586
- NPI assigned
- Aug 25, 2006
- Last updated
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20880700A | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01063241A | IN | MD | Psychiatry Physician |
| 4301085676 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinthala, PC | Psychiatry | Current | Accepting new patients |
| St. Vincent Hospital & Health Care Center, Inc. | Past | Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Psychiatry | Past | 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.
-
- Psychiatry Physician
- Carmel, IN
- NPI 1861664229
-
dba Ascension St. Vincent Pharmacy
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194929646
-
dba Ascension St. Vincent Stress Center
- Psychiatry Physician
- Indianapolis, IN
- NPI 1689869893
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
- Michael Chien
- Children's Health Partnership, Inc
- Children's Therapy House, LLC (Carmel Speech and Myo)
- Varun Reddy Chintakunta, DMD
- Chinthala, PC
- Partson Chinyadza, DPT, ATC
- Chiro One Wellness Center of Carmel, LLC
- Chiropractic Specialists of Indiana, LLC
- Chiropractic Wellness Center of Indiana
- Amareshwar Chiruvella, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.