Christian A. Chisholm, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101053362 Issued in VA

Practice address

1204 W Main St
Charlottesville, VA 22903-2824

Phone

(434) 924-2500

Fax

(434) 244-9487

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Maryland School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• TN PPO
• KY PPO
• KY PPO C-SNP
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
• TN PPO C-SNP

Interoperability endpoints

• Direct secure messaging: cchisholm6661@direct.healthsystem.virginia.edu
• Direct secure messaging: christian.chisholm.1@16767.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment Care Compare group NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  Medicare reassignment NPD
• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Uva Community Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlottesville, VA
  • NPI 1598475741
  Medicare reassignment NPD
• Uva Community Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Haymarket, VA
  • NPI 1790188597
  NPD
• Family Health Centers of Southwest Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1326090390
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1013086636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W MAIN ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032824",
            "telephone_number": "434-924-2500",
            "fax_number": "434-244-9487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Sunset Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013959",
            "country_code": "US",
            "telephone_number": "540-321-3002",
            "fax_number": "540-829-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Rivermont Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245032030",
            "country_code": "US",
            "telephone_number": "434-924-2500",
            "fax_number": "434-243-9240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Ivy Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229039353",
            "country_code": "US",
            "telephone_number": "434-243-4570",
            "fax_number": "434-295-5491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082824",
            "country_code": "US",
            "telephone_number": "434-924-2500",
            "fax_number": "434-243-9240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082824",
            "country_code": "US",
            "telephone_number": "434-924-1955",
            "fax_number": "434-982-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "CHRISTIAN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101053362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchisholm6661@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1204 W Main St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229032824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Jeffrey Robert Childes, MD
• Children'S Dentistry of Charlottesville, P.C.
• Reba M. Childress, R.N., N.P.
• Chinamed USA
• Scott D Chirichetti, DO
• Edmund Madison Chitwood, MD
• Nino Chkhaidze, LCP
• Jai Jong Cho, MD
• Woojin Cho, MD
• Jennifer M Choffel, AG-ACNP

• Obstetrics & Gynecology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.