DARSHIKA CHHABRA MD
NPI 1003015116
Internal Medicine - Nephrology in Oak Lawn, IL

NPI Status: Active since July 18, 2007

Contact Information

4400 W 95TH ST STE 112
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-7100

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  • Individual
  • Female
  • Years of Experience 22
  • Internal Medicine
  • Nephrology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About DARSHIKA CHHABRA

Darshika Chhabra is an internist established in Oak Lawn, Illinois and her medical specialization is Internal Medicine with a focus in nephrology with more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1003015116 assigned on July 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 036-117304 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003015116
Provider Name
DARSHIKA CHHABRA MD
Gender
Female
Entity Type
Individual
Location Address
4400 W 95TH ST STE 112 OAK LAWN, IL 60453
Location Phone
(708) 684-7100
Mailing Address
29373 NETWORK PL CHICAGO, IL 60673
Mailing Phone
(847) 390-5900
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
Yes
Enumeration Date
07-18-2007
Last Update Date
06-06-2022
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An internist like Darshika Chhabra is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Darshika Chhabra is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
036-117304
License State
IL
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 1 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Bronze 4 PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Bronze S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Gold 3 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Gold S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
    • Silver 5 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Silver 6 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Silver 7 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Silver S PPO: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care - PPO
  • Blue Cross and Blue Shield of Illinois

    • Blue Precision Bronze HMO℠ 205 - HMO
    • Blue Precision Bronze HMO℠ 701 - Rx Copays - HMO
    • Blue Precision Bronze HMO℠ 708 - HMO
    • Blue Precision Gold HMO℠ 207 - HMO
    • Blue Precision Gold HMO℠ 703 - Rx Copays - HMO
    • Blue Precision Gold HMO℠ 707 - HMO
    • Blue Precision Silver HMO 704℠ - Rx Copays - HMO
    • Blue Precision Silver HMO℠ 206 - HMO
    • Blue Precision Silver HMO℠ 706 - HMO
    • BlueCare Direct Bronze℠ 401 with Advocate - Rx Copays - HMO
    • BlueCare Direct Bronze℠ 802 with Advocate - HMO
    • BlueCare Direct Gold℠ 409 with Advocate - Rx Copays - HMO
    • BlueCare Direct Gold℠ 804 with Advocate - HMO
    • BlueCare Direct Silver℠ 212 with Advocate - Rx Copays - HMO
    • BlueCare Direct Silver℠ 803 with Advocate - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Darshika Chhabra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 547452377

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101012000069

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Drugs and Nutritional Products

  • Other drugs (O1E)

    Azathioprine, oral, 50 mg (HCPCS:J7500)

    3 DME suppliers used 12 Medicare Claims 960 Services Paid

  • Other drugs (O1E)

    Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg (HCPCS:J7503)

    5 DME suppliers used 203 Medicare Claims 118629 Services Paid

  • Other drugs (O1E)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    5 DME suppliers used 59 Medicare Claims 8985 Services Paid

  • Other drugs (O1E)

    Mycophenolic acid, oral, 180 mg (HCPCS:J7518)

    5 DME suppliers used 172 Medicare Claims 19908 Services Paid

  • Other drugs (O1E)

    Sirolimus, oral, 1 mg (HCPCS:J7520)

    2 DME suppliers used 11 Medicare Claims 765 Services Paid

  • Other drugs (O1E)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

    8 DME suppliers used 201 Medicare Claims 201 Services Paid

  • Other drugs (O1E)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    10 DME suppliers used 247 Medicare Claims 318 Services Paid

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Darshika Chhabra is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER4440 W 95TH STREET
OAK LAWN, IL 60453
(708) 684-8000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 1 + 2 + 24 = 34
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 34 = 66

The NPI number 1003015116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720024219 DEEPAK MITAL M.D.
Individual
Transplant Surgery4400 W 95TH ST STE 112
OAK LAWN, IL 60453
(708) 684-7100
1922138254DR. JEANETTE MCLAUGHLIN MD
Individual
Internal Medicine (Nephrology)4400 W 95TH ST STE 112
OAK LAWN, IL 60453
(708) 684-7100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015116, enumerated in the NPI registry as an "individual" on July 18, 2007

The provider is located at 4400 W 95th St Ste 112 Oak Lawn, Il 60453 and the phone number is (708) 684-7100

The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider has more than 22 years of experience.

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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