Active NPI
Somphit Chinkam, CNM
- Advanced Practice Midwife
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN200952
- Practice address
- 850 Harrison Ave
5TH FL
Boston, MA 02118 - Phone
- (617) 414-2000
- Fax
- (617) 414-5798
- NPI assigned
- Dec 19, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN200952 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
5TH FL
Boston, MA 02118
Mailing address
960 Mass Ave
FL 2
Boston, MA 02118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110015825A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University Obstetrics and Gynecology Foundation, Inc. | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Roxbury Comprehensive Community Health Center | Past | Accepting new patients | |
| Roxbury Comprehensive Community Health Center, Inc. | Past | Accepting new patients |
Locations
850 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-2000
850 Harrison Ave
Fl 4
Boston, MA 02118
Phone (617) 414-2000
720 Harrison Ave
Boston, MA 02118
Phone (617) 638-7460
960 Massachusetts Ave
Ste 2
Boston, MA 02118
720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
Interoperability endpoints
- schinkam9793@direct.bmc.masshiway.net
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Social Worker
- Roxbury, MA
- NPI 1831306083
-
- Community Health Clinic/Center
- Roxbury, MA
- NPI 1932266533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1063498434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASS AVE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "5TH FL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-2000",
"fax_number": "617-414-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINKAM",
"first_name": "SOMPHIT",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "RN200952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110015825A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.