Active NPI
Kazumi Chino, M.D.
- Radiation Oncology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 82624
- Practice address
- 800 1St St Ste 110
Macon, GA 31201-8306 - Phone
- (478) 743-3466
- Fax
- (478) 746-2049
- NPI assigned
- May 23, 2007
- Last updated
- Jul 26, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 72755 | AZ | |
| Radiation Oncology Physician | 2085R0001X | 01066492A | IN | |
| Radiation Oncology Physician | 2085R0001X | ME125656 | FL | |
| Radiation Oncology Physician | 2085R0001X | 82624 | GA | Primary |
Addresses
Primary practice location
800 1St St Ste 110
Macon, GA 31201-8306
Mailing address
800 1St St Ste 110
Macon, GA 31201-8306
Phone (478) 743-3466
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200952470 | Medicaid | IN | |
| P01564915 | Other | FL | RAILROAD MEDICARE PTAN |
| 003219046A | Medicaid | GA | |
| 015771800 | Medicaid | FL | |
| 000000618824 | Other | IN | ANTHEM PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of New Mexico School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Sutherlin Dr R
Warner Robins, GA 31088-2259
Phone (478) 287-6353
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235
800 1St St
Suite 110
Macon, GA 31201-8300
Phone (478) 743-3466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72755 | AZ | MD | Radiation Oncology Physician |
| ME125656 | FL | MD | Radiation Oncology Physician |
| 01066492A | IN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Radiation Oncology Center | Radiation Oncology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Radiology Associates of Macon PC | Past | Accepting new patients |
Locations
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
800 1st St
Ste 110
Macon, GA 31201
Phone (478) 743-3466
114 Sutherlin Dr
Ste R
Warner Robins, GA 31088
Phone (478) 287-6353
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- Macon, GA
- NPI 1083604334
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1679563035
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1053521682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 1ST ST STE 110",
"city": "MACON",
"state": "GA",
"postal_code": "312018306",
"telephone_number": "478-743-3466",
"fax_number": "787-462-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 1ST ST STE 110",
"city": "MACON",
"state": "GA",
"postal_code": "312018306",
"telephone_number": "478-743-3466",
"fax_number": "478-746-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINO",
"first_name": "KAZUMI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "72755",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01066492A",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME125656",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "82624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200952470",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01564915",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003219046A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015771800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000618824",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.