Organization Active NPI

John Chrostowski, MD,PLLC

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1003280462
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27877 Issued in TN
Legal business name
JOHN CHROSTOWSKI, MD,PLLC
Practice address
2158 Northgate Park LN
Suite 100
Chattanooga, TN 37415-6911
Phone
(423) 803-2460
Fax
(423) 803-2461
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Cruz
Title
Billing Manager
Phone
(423) 541-6658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 27877 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN
Suite 100
Chattanooga, TN 37415-6911

Mailing address

PO Box 11410
Chattanooga, TN 37401-2410
Phone (423) 541-6658

Other names 1

  • John Chrostowski, MD,PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160331001143 TN Part B Supplier - Clinic/Group Practice 1153628417 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN
O20160914001944 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1153628417 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

2158 Northgate Park Ln
Ste 100
Chattanooga, TN 37415
Phone (423) 803-2460

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1003280462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11410",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012410",
            "telephone_number": "423-541-6658",
            "fax_number": "423-629-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156911",
            "telephone_number": "423-803-2460",
            "fax_number": "423-803-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHROSTOWSKI, MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "423-541-6658"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "27877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Chrostowski, MD,PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.