Active NPI
Nicholas Chirico Jr.
- Diagnostic Radiology Physician
- Eden Prairie, MN
National Provider Identifier
1053843326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 15756A
- Practice address
- 11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 15756A | WY | Primary |
Addresses
Primary practice location
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Mailing address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- 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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 739-7281
Hospital & facility affiliations
- St Johns Medical Center
- South Lincoln Medical Center - Cah
- Star Valley Medical Center
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.32 of 100
- Quality
- 91.68
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.24 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.39 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15756A | WY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hole Medical Imaging, PC | Diagnostic Radiology | Current | Accepting new patients |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Jackson, WY
- NPI 1669586632
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
-
- Critical Access Hospital
- Kemmerer, WY
- NPI 1972743011
-
- General Acute Care Hospital
- Jackson, WY
- NPI 1801835475
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1053843326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445349",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445349",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRICO",
"first_name": "NICHOLAS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WY",
"license": "15756A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
- 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.