Active NPI
Bruce Chamovitz, M.D.
- Infectious Disease Physician
- Aliquippa, PA
National Provider Identifier
1205893344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD027359E
- Practice address
- 99 Autumn St
Suite 101
Aliquippa, PA 15001-1301 - Phone
- (724) 375-3199
- Fax
- (724) 375-5858
- NPI assigned
- May 1, 2006
- Last updated
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD027359E | PA | Primary |
Addresses
Primary practice location
99 Autumn St
Suite 101
Aliquippa, PA 15001-1301
Mailing address
99 Autumn St
Suite 101
Aliquippa, PA 15001-1301
Phone (724) 375-3199
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0708550 | Medicaid | OH | |
| 174451 | Other | PA | BLUE SHIELD |
| 206098 | Other | PA | UPMC |
| 0009505850002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080822000073 | PA | Practitioner - Infectious Disease | 5698717965 | Practice locations: Beaver, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1205893344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 AUTUMN ST",
"address_2": "SUITE 101",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011301",
"telephone_number": "724-375-3199",
"fax_number": "724-375-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 AUTUMN ST",
"address_2": "SUITE 101",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011301",
"telephone_number": "724-375-3199",
"fax_number": "724-375-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMOVITZ",
"first_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD027359E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0708550",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "174451",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "206098",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009505850002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aliquippa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.