Praveen Chava, M.D.
Individual provider Active NPI Family Medicine Physician · Portales, NM
NPI 1922380708 · NPPES record last updated Oct 11, 2013
Key facts
- NPI
- 1922380708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD2013-0397 (NM)
- Practice address
- 42121 US Hwy 70
Portales, NM 88130-9347 - Phone
- (575) 356-6652
- Fax
- (575) 359-6827
- NPI assigned
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roosevelt County Special Hospital District
Practice addresses (Care Compare)
42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652
Hospital & facility affiliations
- Excelacare Home Health
- Excelacare Home Health
- Plains Regional Medical Center Home Health Care
- Excelacare Hospice
- Roosevelt General Hospital
- Plains Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140103000486 | NM | Practitioner - Family Practice |
9234302704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roosevelt County Special Hospital District | Current |
Accepting new patients | |
| Roosevelt County Special Hospital District | Family Medicine | Current |
Accepting new patients |
| Roosevelt County Special Hospital District | Past | Accepting new patients |
Locations
2000 W 21st St
Ste R1
Clovis, NM 88101
Phone (505) 763-3445
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
Interoperability endpoints
- praveenchava@rghnm.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N8280 | TX | |
| Family Medicine Physician | 207Q00000X | MD2013-0397 | NM | Yes |
Addresses
Primary practice location
42121 US Hwy 70
Portales, NM 88130-9347
Mailing address
PO Box 299
Portales, NM 88130-0299
Phone (575) 356-6652
Other providers in Portales, NM
- Johnny G Casady
- Leah Jayne Castro
- Madeline K Chalenor
- Celisa Chan
- Charles W. Brooks, O.D., P.C.
- Deborah L Chavez
- Tiffany C Cheung
- Lindsay D Christensen
- City of Portales
- Colton Trevenne Coleman
All providers in Portales, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.