Individual provider Active NPI

Anjula Chib, MD

  • Cardiovascular Disease Physician
  • Dothan, AL
National Provider Identifier
1952807752
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
V0924 Issued in TX
Practice address
1108 Ross Clark Cir
Dothan, AL 36301
Phone
(334) 712-3329
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X V0924 TX Primary

Addresses

Primary practice location

1108 Ross Clark Cir
Dothan, AL 36301

Mailing address

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 712-3329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230630002909 MS Practitioner - Internal Medicine 8820457369 Reassigns benefits to 2 organizations
I20240904001787 TX Practitioner - Cardiovascular Disease (Cardiology) 8820457369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0924TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Jun 15, 2023 Accepting new patients
Magnolia Hospitalist Group CurrentSince Jun 15, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
American Heart Specialists PLLC Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Magnolia Regional Health Center CurrentSince Jun 15, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients

Locations

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

915 Gessner Rd
Ste 300
Houston, TX 77024
Phone (713) 464-2100

19002 Park Row
Ste 207
Houston, TX 77084
Phone (281) 825-1866

18440 W Airport Blvd
Ste 300
Richmond, TX 77407
Phone (346) 279-2221

Interoperability endpoints

  • Direct secure messaging: anjulachib@magnolia.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBDD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1952807752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-712-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-712-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIB",
        "first_name": "ANJULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "V0924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.