Chidambaranathan Chandrasekaran, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

164610 Issued in NY

Practice address

286 Patchogue Yaphank Rd
East Patchogue, NY 11772-4861

Phone

(631) 289-7862

Fax

(631) 475-1969

NPI assigned

Jan 2, 2007

Last updated

Jul 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family PracticeAlso: General Surgery

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
• Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
• Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
• Bellhaven Center for Rehab and Nursing Care Nursing home, Brookhaven, NY, CCN 335755

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bellhaven Management LLC

  dba bellhaven center for rehabilitation

  • Skilled Nursing Facility
  • Brookhaven, NY
  • NPI 1528398914
  Medicare reassignment NPD
• Gramercy Medical Services P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1639678428
  Medicare reassignment NPD
• Vytaliz Medical

  • Internal Medicine Physician
  • New City, NY
  • NPI 1568831105
  NPD
• Great South Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • East Patchogue, NY
  • NPI 1366864514
  NPD (past)
• Long Island Community Hospital at NYU Langone Health

  dba Long Island Community Hospital

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1053354100
  NPD (past)
• NK Medical PC

  • Nephrology Physician
  • Shirley, NY
  • NPI 1467873018
  NPD (past)
• NYU Langone Hospitals

  dba NYU Langone Hospital - Suffolk

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1831910355
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• QC-Medi New York, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Hauppauge, NY
  • NPI 1376575977
  Care Compare affiliation Name & address match
• Bellhaven Management LLC

  dba bellhaven center for rehabilitation

  • Skilled Nursing Facility
  • Brookhaven, NY
  • NPI 1528398914

  Nursing home

  Care Compare affiliation
• Extended Nursing Personnel Chha, LLC

  dba Extended Home Care

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396836219
  Care Compare affiliation
• NYU Langone Hospitals

  dba NYU Langone Hospitals - Suffolk

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Patchogue, NY
  • NPI 1013724061

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  dba NYU Langone Hospital - Suffolk

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1831910355
  Care Compare affiliation

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1942367883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724861",
            "telephone_number": "631-289-7862",
            "fax_number": "631-475-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724861",
            "telephone_number": "631-289-7862",
            "fax_number": "631-475-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "CHIDAMBARANATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "164610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darek A. Candelore, PT, DPT
• Robert Capizzi, M.D.
• Christine Anne Capurso, L.A.C., DC
• Blanca Patricia Carballido
• Zachary Cassetta
• Joel Myladoor Chandy, D.O.
• Pierre Wisly Charles, COTA
• Robert M Chernaik, MD
• Peter Chiu, M.D.
• Christopher Joubert DDS PC

• Adult Medicine Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.

Verify at the official NPI Registry.