Main Street Medical Providers LLC
NPI 1790497444 · Internal Medicine Physician · Parsippany, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Medical Providers LLC is a Internal Medicine Physician organization in Parsippany, NJ (NPI 1790497444).
Provider details
- NPI number
- 1790497444
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Santhosh Chakilam, Owner(551) 223-7912
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Frequently asked questions
- What is Main Street Medical Providers LLC's NPI number?
- Main Street Medical Providers LLC's National Provider Identifier (NPI) is 1790497444, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Medical Providers LLC?
- Main Street Medical Providers LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Main Street Medical Providers LLC located?
- Main Street Medical Providers LLC's practice location on file with NPPES is 65 Leah Way, Parsippany, NJ 07054-3448.
- What is Main Street Medical Providers LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Medical Providers LLC is (551) 223-7912.
- Does Main Street Medical Providers LLC accept Medicare?
- Main Street Medical Providers LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Medical Providers LLC?
- The authorized official listed on Main Street Medical Providers LLC's NPPES record is Santhosh Chakilam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Medical Providers LLC's NPI active?
- Yes — Main Street Medical Providers LLC's NPI (1790497444) is active in the NPPES registry as of the last update on 2022-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.