Active NPI
Mahesh Chandra, MD
- Rheumatology Physician
- Clinton, MD
National Provider Identifier
1982797718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- D0027902
- Practice address
- 9131 Piscataway Rd
Suite 710
Clinton, MD 20735 - Phone
- (301) 868-8654
- Fax
- (301) 856-7298
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | D0027902 | MD | Primary |
Addresses
Primary practice location
9131 Piscataway Rd
Suite 710
Clinton, MD 20735
Mailing address
9131 Piscataway Rd
Suite 710
Clinton, MD 20735
Phone (301) 868-8654
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3200041 | Other | UNITED HEALTHCARE INS | |
| 00017637 | Other | DC | CAREFIRST BCBS |
| 400075 | Other | TRICARE | |
| 7398022 | Other | OPTIMUM CHOICE | |
| 010004037 | Other | UNITED HEALTHCARE INS | |
| 146019400 | Other | ACS-DOL | |
| 2343 | Other | MD | CAREFIRST BCBS |
| 319251201 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090116000247 | DC | Practitioner - Internal Medicine | 4688737612 | Practice locations: Clinton, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0027902 | MD | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1982797718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9131 PISCATAWAY RD",
"address_2": "SUITE 710",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "301-868-8654",
"fax_number": "301-856-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9131 PISCATAWAY RD",
"address_2": "SUITE 710",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "301-868-8654",
"fax_number": "301-856-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRA",
"first_name": "MAHESH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MD",
"license": "D0027902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE INS",
"identifier": "3200041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "00017637",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "400075",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "7398022",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE INS",
"identifier": "010004037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-DOL",
"identifier": "146019400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "2343",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319251201",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
- Dana Cartwright, PHARMD
- Joseph Peter Caruso, M.D.
- Tiffany Andrea Cash
- Center for Pain Management LLC (National Spine and Pain Centers)
- Certified Counseling Services, Inc. of Clinton (Centre)
- Renu Chandra, MD
- Changing Lives Adult & Youth Services
- Changing Minds/Changing Lives Home Management & Life Coaching Center
- Jean Chappell, LCSW-C
- Riad Charafeddine, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.