Individual provider Active NPI

Casey Alexander Chamberlain

  • Physical Medicine & Rehabilitation Physician
  • Chillicothe, OH
National Provider Identifier
1144436858
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101017184 Issued in MI
Practice address
4437 State Route 159 Ste G15
Chillicothe, OH 45601-7065
Phone
(740) 779-4598
Fax
(740) 779-4599
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101017184 MI Primary

Addresses

Primary practice location

4437 State Route 159 Ste G15
Chillicothe, OH 45601-7065

Mailing address

272 Hospital Rd Ste 6
Chillicothe, OH 45601-9031
Phone (740) 779-4275

Other identifiers 1

IdentifierTypeStateIssuer
0069484MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchamberlain657331@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000288 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 2466622477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Ohio University, College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2030 Stringtown Rd
Suite 200
Grove City, OH 43123-3993
Phone (614) 544-0054

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017184MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2021 Accepting new patients
Adena Medical Group LLC CurrentSince Aug 1, 2012 Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

869 N Bridge St
Chillicothe, OH 45601
Phone (740) 474-5024

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

4437 State Route 159
Ste G15
Chillicothe, OH 45601
Phone (740) 779-8580

210 Sharon Rd
Circleville, OH 43113
Phone (740) 420-8710

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

285 E State St
Ste 430
Columbus, OH 43215
Phone (614) 566-9777

2030 Stringtown Rd
Ste 200
Grove City, OH 43123
Phone (614) 544-0054

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 3

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.

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1144436858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE 6",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4275",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 STATE ROUTE 159 STE G15",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017065",
            "telephone_number": "740-779-4598",
            "fax_number": "740-779-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "CASEY",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-01-25",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101017184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069484",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchamberlain657331@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2030 Stringtown Rd",
            "address_2": "Ste 200",
            "city": "Grove City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431233993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.