Jeannette Chinchilla, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

029729 Issued in CT

Practice address

677 S Main St
Cheshire, CT 06410-3158

Phone

(203) 272-2382

Fax

(203) 272-0071

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Pediatric Medicine

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchinchilla@direct.wtbyhosp.org
• Direct secure messaging: jchinchilla2768@direct.ynhh.org

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.

• Pediatric and Adolescent Medicine of Cheshire, LLC

  • Pediatrics Physician
  • Cheshire, CT
  • NPI 1083490981
  NPD Authorized official
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1063448181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST STE 4",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103161",
            "telephone_number": "203-272-2382",
            "fax_number": "203-272-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103158",
            "telephone_number": "203-272-2382",
            "fax_number": "203-272-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHILLA",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "029729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001297292",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheshire Fitness Zone, LLC
• Cheshire Physical Therapy & Sports Medicine, Inc
• Cheshire Public Schools
• Chesprocott Health District
• Children'S Therapy Services
• Chiropractic and Rehabilitation Center of Cheshire Inc
• John H Choi, PHARMD
• Frank J. Chovitz, MS,LADC
• Erica Ciarciello, LPC
• Andrea Marie Ciarlelli, LMFT

• Pediatrics Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.