Active NPI
John H Chidester, MD
- Specialist
- Malvern, PA
National Provider Identifier
1124013586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD-019797-E
- Practice address
- 254 W. Lancaster Ave
Suite 2
Malvern, PA 19355-3087 - Phone
- (610) 644-5040
- Fax
- (610) 640-9170
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD-019797-E | PA | Primary |
Addresses
Primary practice location
254 W. Lancaster Ave
Suite 2
Malvern, PA 19355-3087
Mailing address
254 W. Lancaster Ave
Suite 2
Malvern, PA 19355-3087
Phone (610) 644-5040
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3646 | Other | PA | AETNA PROVIDER NUMBER |
| 055590 | Other | PA | PERSONAL CHOICE PROVIDER |
| 02598600 | Other | PA | IDENPENDENCE BLUE CROSS |
| 1754466 | Other | PA | HIGHMARK GROUP ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-019797-E | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients | |
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients |
Locations
650 Carnegie Blvd
Ste 220A
Malvern, PA 19355
Phone (610) 707-4028
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Organizations & group practices 2
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.
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- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1124013586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 W. LANCASTER AVE",
"address_2": "SUITE 2",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553087",
"telephone_number": "610-644-5040",
"fax_number": "610-640-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 W. LANCASTER AVE",
"address_2": "SUITE 2",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553087",
"telephone_number": "610-644-5040",
"fax_number": "610-640-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDESTER",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD-019797-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "3646",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE PROVIDER",
"identifier": "055590",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDENPENDENCE BLUE CROSS",
"identifier": "02598600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK GROUP ID #",
"identifier": "1754466",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.