Individual provider Active NPI

Chad Chitester, P.A.

  • Medical Physician Assistant
  • Jamestown, NY
National Provider Identifier
1184615163
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007155 Issued in NY
Practice address
31 Sherman St Ste 2500
Jamestown, NY 14701-7082
Phone
(716) 338-9797
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 007155 NY Primary

Addresses

Primary practice location

31 Sherman St Ste 2500
Jamestown, NY 14701-7082

Mailing address

95 E Chautauqua St
PO Box 168
Mayville, NY 14757-0168
Phone (716) 753-7107

Other identifiers 2

IdentifierTypeStateIssuer
J400003830OtherNYMEDICARE
02342092MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000419 NY Practitioner - Physician Assistant 7214088962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Medical Services PLLCGroup PAC ID 9133221666, 17 clinicians

Practice addresses (Care Compare)

103 Allen St
Jamestown, NY 14701-6968
Phone (716) 338-0022

715 Falconer St
Jamestown, NY 14701-1935
Phone (716) 655-4905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Medical Services Jamestown Convenience Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cchitester@fhms.medentdirect.com

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.

Hospital & facility affiliations 2

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1184615163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E CHAUTAUQUA ST",
            "address_2": "PO BOX 168",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147570168",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERMAN ST STE 2500",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017082",
            "telephone_number": "716-338-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITESTER",
        "first_name": "CHAD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400003830",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02342092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.