Individual provider Active NPI

Kazumi Chino, M.D.

  • Radiation Oncology Physician
  • Macon, GA
National Provider Identifier
1053521682
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
82624 Issued in GA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200952470MedicaidIN
P01564915OtherFLRAILROAD MEDICARE PTAN
003219046AMedicaidGA
015771800MedicaidFL
000000618824OtherINANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627003573 GA Practitioner - Diagnostic Radiology 4789738147 Reassigns benefits to 1 organization

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
Central Georgia Radiation Oncology CenterGroup PAC ID 4789662412, 4 clinicians

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

LicenseStateTypeSpecialty
72755AZMDRadiation Oncology Physician
ME125656FLMDRadiation Oncology Physician
01066492AINMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Radiation Oncology Center Radiation Oncology CurrentSince Jul 1, 2019 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.