Individual provider Active NPI

Toni Lynn Thompson-Chittams, D.O

  • Pediatrics Physician
  • Bowie, MD
National Provider Identifier
1144229667
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H0058746 Issued in MD
Practice address
4357 Northview Dr
Bowie, MD 20716-2603
Phone
(301) 352-6515
Fax
(301) 352-6516
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H0058746 MD Primary

Addresses

Primary practice location

4357 Northview Dr
Bowie, MD 20716-2603

Mailing address

17121 Aspen Leaf Dr
Bowie, MD 20716-3643
Phone (301) 352-3821

Other identifiers 1

IdentifierTypeStateIssuer
H0058746OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0058746MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Pediatrics Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIGAA/Endpoint/IBIGAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1144229667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 ASPEN LEAF DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163643",
            "telephone_number": "301-352-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162603",
            "telephone_number": "301-352-6515",
            "fax_number": "301-352-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-CHITTAMS",
        "first_name": "TONI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0058746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "H0058746",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.