Active NPI
Prashant Chittiboina, M.D., M.P.H.
- Neurological Surgery Physician
- Bethesda, MD
National Provider Identifier
1992916894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD204836
- Practice address
- 10 Center Dr
Room 3D20
Bethesda, MD 20892-1414 - Phone
- (301) 496-3287
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD204836 | LA | Primary |
Addresses
Primary practice location
10 Center Dr
Room 3D20
Bethesda, MD 20892-1414
Mailing address
10 Center Dr
Room 3D20
Bethesda, MD 20892-1414
Phone (301) 496-3287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07891 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD204836 | LA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1992916894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "ROOM 3D20",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208921414",
"telephone_number": "301-496-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "ROOM 3D20",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208921414",
"telephone_number": "301-496-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITTIBOINA",
"first_name": "PRASHANT",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "LA",
"license": "MD204836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07891",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.