Individual provider Active NPI

Mahipal S. Chaudhri, M.D.

  • Psychiatry Physician
  • Santee, CA
National Provider Identifier
1982799490
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
196375 Issued in NY
Practice address
8770 Cuyamaca St Ste 4
Santee, CA 92071-4289
Phone
(619) 596-9890
Fax
(619) 596-9893
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 196375 NY
Psychiatry Physician 2084P0800X 196375 NY Primary

Addresses

Primary practice location

8770 Cuyamaca St Ste 4
Santee, CA 92071-4289

Mailing address

890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Phone (585) 442-6960

Other practice location 1

890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Phone (585) 442-6960

Other identifiers 1

IdentifierTypeStateIssuer
BB1674OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120214000344 NY Practitioner - Psychiatry 7113012782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Medical Behavioral Health, PCGroup PAC ID 6406941079, 2 clinicians

Practice addresses (Care Compare)

890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Phone (585) 442-6960

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yashwant Chaudhri MD a Prof Corp Psychiatry CurrentSince May 10, 2020 Accepting new patients
New York Medical Behavioral Health, PC Mental Health CurrentSince May 1, 1998 Accepting new patients
County of Wayne PastSince May 1, 2001 Accepting new patients

Locations

8770 Cuyamaca St
Ste 4
Santee, CA 92071
Phone (619) 596-9890

890 Westfall Rd
Ste B
Rochester, NY 14618
Phone (585) 442-6960

Interoperability endpoints

  • Direct secure messaging: mchaudhri@hiemail.healtheconnections.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1982799490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610",
            "telephone_number": "585-442-6960",
            "fax_number": "585-442-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 CUYAMACA ST STE 4",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714289",
            "telephone_number": "619-596-9890",
            "fax_number": "619-596-9893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Westfall Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182610",
            "country_code": "US",
            "telephone_number": "585-442-6960",
            "fax_number": "585-442-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHRI",
        "first_name": "MAHIPAL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "196375",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "196375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BB1674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.