DR. NIRAJ R CHAVAN MD, MPH
NPI 1700124427
Obstetrics & Gynecology - Maternal & Fetal Medicine in Lexington, KY

Active since January 30, 2013PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY OF KENTUCKY HEALTHCARE, 800 ROSE ST; DEPT. OF OBSTETRICS & GYNECOLOGY: C:360, LEXINGTON, KY 40536(859) 323-6434(859) 257-1305 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Niraj R Chavan Md, Mph NPPES

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

DR. NIRAJ R CHAVAN MD, MPH (NPI 1700124427) is an individual maternal & fetal medicine provider in Lexington, Kentucky, licensed in Kentucky (46810) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1700124427
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. NIRAJ R CHAVANCredential: MD, MPH
Location AddressUNIVERSITY OF KENTUCKY HEALTHCARE, 800 ROSE ST; DEPT. OF OBSTETRICS & GYNECOLOGY: C:360Lexington, KY 40536-0293
Mailing AddressUniversity Of Kentucky Healthcare, 800 Rose St; Dept. Of Obstetrics & Gynecology: C:360Lexington, KY 40536-0293
Fax(859) 257-1305
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 30, 2013
Last NPPES UpdateAugust 22, 2017
✔ NPI 1700124427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in KY · 46810
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 46810 (KY)
UNIVERSITY OF KENTUCKY HEALTHCARE, Lexington, KY 40536

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Niraj R Chavan Md, Mph 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 ID4688947757
PECOS Enrollment IDI20210816002728, I20260429001225
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Niraj Chavan reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
General Acute Care Hospital
90 INDUSTRIAL PARK CIR
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
Maternal & Fetal Medicine
1900 PINE ST
Abilene, TX 79601
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 553 clinicians in this Medicare group
General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group
Obstetrics & Gynecology
3200 PROVIDENCE DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • Medicare enrollment name: Obhg Alaska PC
  • 52 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 2

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

Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY HEALTHCARE, 800 ROSE STREET
LEXINGTON, KY 40536
Pharmacist
UNIVERSITY OF KENTUCKY HEALTHCARE
LEXINGTON, KY 40536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niraj Chavan's NPI number?

The NPI number for Niraj Chavan is 1700124427. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Niraj Chavan located?

Niraj Chavan practices at University Of Kentucky Healthcare 800 Rose St; Dept. Of Obstetrics & Gynecology: C:360, Lexington, KY 40536. The listed phone number is (859) 323-6434.

What is Niraj Chavan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Niraj Chavan enrolled in Medicare?

Yes. Niraj Chavan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Niraj Chavan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Chavan reassigns Medicare benefits to 11 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY), Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Ssm Health Care Group (Saint Louis, MO), Ssm Health Care St. Louis (Saint Louis, MO), Memorial Hospital At Gulfport (Ocean Springs, MS) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niraj Chavan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niraj Chavan accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health of TX, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Niraj Chavan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Niraj Chavan affiliated with any hospitals?

According to CMS data, Niraj Chavan is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Niraj Chavan was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.