Individual provider Active NPI

John Joseph Chiaffitelli, DO

  • General Practice Physician
  • Oklahoma City, OK
National Provider Identifier
1053391672
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3345 Issued in OK
Practice address
1601 SW 89TH St
Oklahoma City, OK 73159-6349
Phone
(405) 681-2273
Fax
(405) 681-2274
NPI assigned
Jan 19, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 3345 OK Primary

Addresses

Primary practice location

1601 SW 89TH St
Oklahoma City, OK 73159-6349

Mailing address

1616 S State St
Edmond, OK 73013-3600
Phone (405) 844-7888

Other identifiers 2

IdentifierTypeStateIssuer
200008260AMedicaidOK
3345OtherOKLICENSE

Other names 1

  • John Joseph Chiaffitelli Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20070214000108 OK Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 8325040702 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Mangum City Hospital AuthorityGroup PAC ID 6305119942, shared by 2 NPIs, 10 clinicians
Carnegie Tri-County Municipal Hospital Management IncGroup PAC ID 6800835935, shared by 3 NPIs, 12 clinicians
Pawhuska Hospital IncGroup PAC ID 7012906548, shared by 3 NPIs, 13 clinicians
Seiling Municipal Hospital AuthorityGroup PAC ID 9830189059, shared by 3 NPIs, 16 clinicians
Cah Acquisition Company 9 LLCGroup PAC ID 0941354823, 15 clinicians

Practice addresses (Care Compare)

1 Wickersham St
Mangum, OK 73554-9117
Phone (580) 782-3353

102 N Broadway
Carnegie, OK 73015-0097
Phone (580) 654-1050

1101 E 15TH St
Pawhuska, OK 74056-1901
Phone (918) 287-3232

1109 E 15TH St
Pawhuska Family Medical Clinic
Pawhuska, OK 74056-1901
Phone (918) 287-5151

118 S Louis Tittle Ave
Mangum Clinic
Mangum, OK 73554-4441
Phone (580) 782-3353

1616 S State St
Edmond, OK 73013-3600

809 NE Hwy 60
Seiling, OK 73663

809 NE Hwy 60
Seiling, OK 73663-2705
Phone (580) 377-1005

PO Box
Seiling, OK 73663

PO Box
Suite 97
Carnegie, OK 73015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3345OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mangum City Hospital Authority CurrentSince Feb 3, 2019 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. Current Accepting new patients
Pawhuska Hospital, Inc. CurrentSince Jul 22, 2018 Accepting new patients
Pawhuska Hospital, Inc. Current Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc General Practice CurrentSince Sep 22, 2018 Accepting new patients
Seiling Municipal Hospital Authority CurrentSince Sep 1, 2021 Accepting new patients
Mangum City Hospital Authority CurrentSince Feb 3, 2019 Accepting new patients
Seiling Municipal Hospital Authority CurrentSince Sep 1, 2021 Accepting new patients
Firstcare Medical Services PC CurrentSince May 1, 2007 Accepting new patients
Prague Healthcare Authority CurrentSince Sep 1, 2021 Accepting new patients
Prague Healthcare Authority CurrentSince Sep 1, 2021 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Sep 22, 2018 Accepting new patients
Pawhuska Hospital Inc CurrentSince Jul 22, 2018 Accepting new patients
Seiling Municipal Hospital Authority Current Accepting new patients
Jeri Ellis MD MPH PC PastSince May 3, 2005 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Fyc Enterprise PC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Total Health Care Clinic PC General Practice PastSince Feb 13, 2022 Accepting new patients

Locations

102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050

1616 S State St
Edmond, OK 73013
Phone (405) 844-7778

1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353

118 S Louis Tittle Ave
Mangum, OK 73554
Phone (580) 782-2000

1601 SW 89th St
Ste F200
Oklahoma City, OK 73159
Phone (405) 681-2273

1101 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1109 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295

809 NE Highway 60
Seiling, OK 73663
Phone (580) 377-1005

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carntri-0870329c
  • FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIACD/Endpoint/GIIACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JABEBD/Endpoint/JABEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHAACA/Endpoint/JHAACA
  • Direct secure messaging: jchiaffitelli@ctcmh.securechart.com

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1053391672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S STATE ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133600",
            "telephone_number": "405-844-7888",
            "fax_number": "405-844-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596349",
            "telephone_number": "405-681-2273",
            "fax_number": "405-681-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAFFITELLI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008260A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3345",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CHIAFFITELLI",
            "middle_name": "JOSEPH",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.