NPIMap

Individual provider Active NPI

Nilima Prasad Chand, MD

  • Internal Medicine Physician
  • Farmington, MO
National Provider Identifier
1942227681
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101058 Issued in MO
Practice address
1031 E Karsch Blvd
Farmington, MO 63640-3404
Phone
(573) 756-7880
Fax
(573) 756-2669
NPI assigned
Jul 17, 2006
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 101058 MO Primary

Addresses

Primary practice location

1031 E Karsch Blvd
Farmington, MO 63640-3404

Mailing address

PO Box 107
Farmington, MO 63640-0107
Phone (573) 756-7880

Other identifiers 5

IdentifierTypeStateIssuer
208566216MedicaidMO
590121307MedicaidMO
595444209MedicaidMO
110175390OtherRAILROAD MEDICARE
505183608MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000718 MO Practitioner - Internal Medicine 6103729967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Healthcare, LLCGroup PAC ID 4385823335, 3 clinicians

Practice addresses (Care Compare)

1031 E Karsch Blvd
Farmington, MO 63640-3404
Phone (573) 756-7880

2025 W Business US Hwy 60
Dexter, MO 63841-2879
Phone (573) 614-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.1 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101058MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Health Center of Stoddard County, LLC CurrentSince Jan 20, 2023 Accepting new patients
Southeast Health Center of Stoddard County LLC Internal Medicine CurrentSince Jan 20, 2023 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Best Medical LLC PastSince Aug 18, 2019 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
Southeast Health Center of Stoddard County, LLC Past Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients

Locations

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

2025 W Business US Highway 60
Dexter, MO 63841
Phone (573) 614-4600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Apollo Healthcare, LLCFarmington, MO, CCN 268945 Rural health clinic 5% Or Greater Direct Ownership Interest (98%)
W-2 Managing Employee		 Jan 1, 2011
Jan 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1942227681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400107",
            "telephone_number": "573-756-7880",
            "fax_number": "573-756-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403404",
            "telephone_number": "573-756-7880",
            "fax_number": "573-756-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAND",
        "first_name": "NILIMA",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "101058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208566216",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590121307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595444209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110175390",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505183608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.