Individual provider Active NPI

Nisha P Chhabria, MD

  • Neurology Physician
  • West Palm Beach, FL
National Provider Identifier
1952421398
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.205155 Issued in LA
Practice address
4631 North Congress Ave
Suite 200
West Palm Beach, FL 33407-3234
Phone
(561) 845-0500
Fax
(561) 296-1101
NPI assigned
Mar 30, 2007
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X MD038799 DC
Neurology Physician 2084N0400X MD.205155 LA Primary

Addresses

Primary practice location

4631 North Congress Ave
Suite 200
West Palm Beach, FL 33407-3234

Mailing address

4631 North Congress Ave
Suite 200
West Palm Beach, FL 33407-3234
Phone (561) 845-0500

Other identifiers 2

IdentifierTypeStateIssuer
09528805MedicaidMS
2182153MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151218000789 FL Practitioner - Neurology 9537329339 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038799DCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart H. Isaacson, M.D, P.a. Neurology CurrentSince Nov 18, 2015 Accepting new patients
Palm Beach Neurology Neurology CurrentSince Aug 8, 2019 Accepting new patients
Palm Beach Neurology Neurology CurrentSince Aug 8, 2019 Accepting new patients

Locations

951 NW 13th St
Ste 5E
Boca Raton, FL 33486
Phone (561) 392-1818

4631 N Congress Ave
Ste 200
West Palm Beach, FL 33407
Phone (561) 845-0175

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1952421398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 NORTH CONGRESS AVE",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-845-0500",
            "fax_number": "561-296-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 NORTH CONGRESS AVE",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-845-0500",
            "fax_number": "561-296-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRIA",
        "first_name": "NISHA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD038799",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.205155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09528805",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182153",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.