Active NPI
Samir Visanji Chheda, M.D.
- Diagnostic Radiology Physician
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA09679600
- Practice address
- 210 Ark Road
Mount Laurel, NJ 08054 - Phone
- (609) 914-7017
- Fax
- (609) 261-4180
- NPI assigned
- Jun 18, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA09679600 | NJ | Primary |
Addresses
Primary practice location
210 Ark Road
Mount Laurel, NJ 08054
Mailing address
1295 Route 38 West
PO Box 479
Hainesport, NJ 08036-0479
Phone (609) 914-7017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (888) 601-0943
3280 Urbana Pike
Suite 105
Ijamsville, MD 21754-9411
Phone (888) 601-0943
504 E Ridgeville Blvd
Suite 130
Mount Airy, MD 21771-5942
Phone (888) 601-0943
5454 Wisconsin Ave
Suite 1765
Chevy Chase, MD 20815-6905
Phone (888) 601-0943
7140 Contee Rd
Suite 2000
Laurel, MD 20707-9527
Phone (443) 436-1666
7211 Bank CT
Suite 100
Frederick, MD 21703-2807
Phone (888) 601-0943
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (888) 601-0943
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09679600 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
27424 Network Pl
Chicago, IL 60673
5454 Wisconsin Ave
Ste 1765
Chevy Chase, MD 20815
Phone (301) 652-3410
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884
18103 Prince Philip Dr
Olney, MD 20832
Phone (301) 460-2600
1401 Rockville Pike
Ste 150
Rockville, MD 20852
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Silver Spring, MD
- NPI 1396707782
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1982831814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 ROUTE 38 WEST",
"address_2": "PO BOX 479",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080360479",
"telephone_number": "609-914-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ARK ROAD",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "08054",
"telephone_number": "609-914-7017",
"fax_number": "609-261-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHEDA",
"first_name": "SAMIR",
"middle_name": "VISANJI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09679600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.