Active NPI
Maria Yvonne Chansky, MD
- Family Medicine Physician
- Glenwood Springs, CO
National Provider Identifier
1013090224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35603
- Practice address
- 1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206 - Phone
- (970) 945-2840
- Fax
- (970) 945-2893
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26838 | AZ | |
| Family Medicine Physician | 207Q00000X | 308844 | NY | |
| Family Medicine Physician | 207Q00000X | 35603 | CO | Primary |
| Family Medicine Physician | 207Q00000X | C171652 | CA | |
| Family Medicine Physician | 207Q00000X | 261630 | MA | |
| Family Medicine Physician | 207Q00000X | 4301503993 | MI |
Addresses
Primary practice location
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Mailing address
1830 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-8503
Other practice location 1
1830 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-8503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90785312 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110113000811 | CO | Practitioner - Family Practice | 3870782303 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26838 | AZ | MD | Family Medicine Physician |
| C171652 | CA | MD | Family Medicine Physician |
| 35603 | CO | MD | Family Medicine Physician |
| 261630 | MA | MD | Family Medicine Physician |
| 4301503993 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients |
Interoperability endpoints
- vvh_him@direct.vvh.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1013090224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 BLAKE AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "81601",
"telephone_number": "970-945-8503",
"fax_number": "970-945-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 BLAKE AVE STE 101",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014206",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893"
}
],
"practiceLocations": [
{
"address_1": "1830 Blake Ave",
"address_purpose": "LOCATION",
"city": "Glenwood Springs",
"state": "CO",
"postal_code": "81601",
"country_code": "US",
"telephone_number": "970-945-8503",
"fax_number": "970-945-0253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANSKY",
"first_name": "MARIA",
"middle_name": "YVONNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "26838",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "308844",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "35603",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C171652",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "261630",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301503993",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90785312",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.