Individual provider Active NPI

Joseph Tshamala, DC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1174031652
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013054-1 Issued in NY
Practice address
2164 Hudson Ave.
Rochester, NY 14617
Phone
(585) 467-7070
Fax
(585) 467-7702
NPI assigned
Jan 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013054-1 NY Primary

Addresses

Primary practice location

2164 Hudson Ave.
Rochester, NY 14617

Mailing address

2164 Hudson Ave
Rochester, NY 14617-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222002065 VA Practitioner - Chiropractic 0446623482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Palmercare Chiropractic LLCGroup PAC ID 9931420536, 5 clinicians

Practice addresses (Care Compare)

46169 Westlake Dr
Suite 300
Sterling, VA 20165-5875
Phone (703) 421-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013054-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Irondequoit Chiropractic, PLLC Chiropractor PastSince Apr 27, 2021 Accepting new patients
Steven Foley Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1174031652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HUDSON AVE.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14617",
            "telephone_number": "585-467-7070",
            "fax_number": "585-467-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSHAMALA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013054-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.