Active NPI
Nishan Chobanian Jr., MD
- Gynecologic Oncology Physician
- Saint Louis, MO
National Provider Identifier
1104813633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 4301110735
- Practice address
- 607 S New Ballas Rd
Saint Louis, MO 63141-8222 - Phone
- (314) 251-4260
- NPI assigned
- Sep 30, 2005
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 4301110735 | MI | Primary |
Addresses
Primary practice location
607 S New Ballas Rd
Saint Louis, MO 63141-8222
Mailing address
22301 Foster Winter Dr
Southfield, MI 48075-3707
Phone (248) 849-8140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 77.69
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Mercy Support Services | Past | Accepting new patients | |
| St. John'S Mercy Support Services | Past | Accepting new patients | |
| Baystate Medical Practices, Inc | Past | Accepting new patients |
Locations
1200 Westwood Dr
Ste G
Hamilton, MT 59840
Phone (406) 375-4777
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
Interoperability endpoints
- nchobanian1689@directc.mercy.net
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Clinic/Center
- Saint Louis, MO
- NPI 1265572812
-
- Cardiovascular Disease Physician
- Washington, MO
- NPI 1912020397
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1104813633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22301 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753707",
"telephone_number": "248-849-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418222",
"telephone_number": "314-251-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOBANIAN",
"first_name": "NISHAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MI",
"license": "4301110735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.