Individual provider Active NPI

Bruno Abilio Chumpitazi, M.D.

  • Gynecology Physician
  • Silver Spring, MD
National Provider Identifier
1174523567
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0020704 Issued in MD
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

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000276 DC Practitioner - Obstetrics/Gynecology 8123007986 Reassigns benefits to 1 organization

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
Bruno a Chumpitazi MD PCGroup PAC ID 2961481726, 2 clinicians

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.