Active NPI
Bruno Abilio Chumpitazi, M.D.
- Gynecology Physician
- Silver Spring, MD
National Provider Identifier
1174523567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D0020704
- Practice address
- 11031 Lockwood Dr
Silver Spring, MD 20901-4532 - Phone
- (301) 593-7136
- Fax
- (301) 593-4941
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D0020704 | MD | Primary |
Addresses
Primary practice location
11031 Lockwood Dr
Silver Spring, MD 20901-4532
Mailing address
10409 Bit and Spur LN
Potomac, MD 20854-1505
Phone (301) 593-7136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11031 Lockwood Dr
Silver Spring, MD 20901-4532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1174523567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10409 BIT AND SPUR LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541505",
"telephone_number": "301-593-7136",
"fax_number": "301-593-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11031 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014532",
"telephone_number": "301-593-7136",
"fax_number": "301-593-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUMPITAZI",
"first_name": "BRUNO",
"middle_name": "ABILIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0020704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.