Individual provider Active NPI

Henry H. Chong, M.D.

  • Cardiovascular Disease Physician
  • Greenville, OH
National Provider Identifier
1073515276
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-07-0257 Issued in OH
Practice address
1101 Jackson Street
Ste B
Greenville, OH 45331-1183
Phone
(937) 316-6350
Fax
(937) 316-6374
NPI assigned
Jun 1, 2005
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01070533A IN
Cardiovascular Disease Physician 207RC0000X 35-07-0257 OH Primary

Addresses

Primary practice location

1101 Jackson Street
Ste B
Greenville, OH 45331-1183

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (937) 316-6350

Other identifiers 3

IdentifierTypeStateIssuer
000000752990OtherANTHEM, REID HOSPITAL
0248333MedicaidOH
200100770MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hchong301899@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100610000493 OH Practitioner - Cardiovascular Disease (Cardiology) 0941108005 Reassigns benefits to 1 organization
I20120203000344 IN Practitioner - Cardiovascular Disease (Cardiology) 0941108005 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1101 Jackson St
Greenville, OH 45331-1396

550 Hallmark Dr
Eaton, OH 45320-8648
Phone (937) 456-4181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01070533AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Hospital & Health Care Services, Inc CurrentSince Mar 1, 2012 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jan 2, 2012 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jan 2, 2012 Accepting new patients
Reid Hospital & Health Care Services, Inc Current Accepting new patients
Reid Hospital & Health Care Services Inc CurrentSince Mar 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Professional Readers Group, Inc Past Accepting new patients

Locations

1941 Virginia Ave
Rm HC137
Connersville, IN 47331
Phone (765) 827-7753

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1100 Reid Pkwy
#210
Richmond, IN 47374
Phone (765) 962-1337

1100 Reid Pkwy
Ste 220
Richmond, IN 47374
Phone (765) 983-3297

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

1101 Jackson St
Ste B
Greenville, OH 45331
Phone (937) 316-6350

742 Sweitzer St
Greenville, OH 45331
Phone (800) 891-1633

Interoperability endpoints

  • Direct secure messaging: hchong301899@reidhealth.direct-ci.com

Organizations & group practices 8

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1073515276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "937-316-6350",
            "fax_number": "937-316-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JACKSON STREET",
            "address_2": "STE B",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311183",
            "telephone_number": "937-316-6350",
            "fax_number": "937-316-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "HENRY",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01070533A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-07-0257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, REID HOSPITAL",
            "identifier": "000000752990",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248333",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200100770",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hchong301899@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1101 Jackson Street",
            "address_2": "Ste B",
            "city": "Greenville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453311183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.