Individual provider Active NPI

Samir Visanji Chheda, M.D.

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1982831814
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09679600 Issued in NJ
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

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 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
I20140815000995 MD Practitioner - Diagnostic Radiology 1355568262 Reassigns benefits to 1 organization
I20161114000859 DC Practitioner - Diagnostic Radiology 1355568262 Reassigns benefits to 1 organization

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
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

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 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09679600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2016 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.

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

Verify at the official NPI Registry.