SUPREET KAUR CHAHAL MD
NPI 1104407816
Internal Medicine in Marina Del Rey, CA

Q: What is Supreet Chahal's NPI number?

The NPI number for Supreet Chahal is 1104407816. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Supreet Chahal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Supreet Chahal was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment

4676 ADMIRALTY WAY FL 4, MARINA DEL REY, CA 90292(424) 314-0422 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Apr 15, 2021 (2 updates tracked since 2021).

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About Supreet Kaur Chahal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREET KAUR CHAHAL MD (NPI 1104407816) is an individual internal medicine provider in Marina Del Rey, California, licensed in California (A193704) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104407816

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUPREET KAUR CHAHALCredential: MD

Location Address4676 ADMIRALTY WAY FL 4Marina Del Rey, CA 90292-6601

Mailing Address9227 S Walnut AveFresno, CA 93706-9261 · (559) 618-2677

Phone(424) 314-0422

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 15, 2021

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1104407816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A193704

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4676 ADMIRALTY WAY FL 4, Marina Del Rey, CA 90292

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Secondary Practice Location 1

Location 11303 E Herndon AveFresno, CA 93720-3309 · Phone (559) 450-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Supreet Kaur Chahal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850831389

PECOS Enrollment IDI20240910004493

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services22 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER SLEVIN PHARM.D.

Pharmacist