Individual provider Active NPI

Kao Bin Chou, MD

  • Military Health Care Provider
  • Fort Campbell, KY
National Provider Identifier
1245206416
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
MD29087 Issued in TN
Practice address
3208 Indiana Ave
Fort Campbell, KY 42223-6215
Phone
(270) 798-6373
Fax
(270) 798-6377
NPI assigned
Feb 27, 2006
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X MD29087 TN Primary

Addresses

Primary practice location

3208 Indiana Ave
Fort Campbell, KY 42223-6215

Mailing address

2140 Batavia St
Clarksville, TN 37040-7513
Phone (931) 906-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200324000421 FL Order and Referring Only - Family PracticePractitioner - Family Practice 7214365352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29087TNMDMilitary Health Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1245206416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 BATAVIA ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407513",
            "telephone_number": "931-906-6100",
            "fax_number": "270-798-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 INDIANA AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422236215",
            "telephone_number": "270-798-6373",
            "fax_number": "270-798-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU",
        "first_name": "KAO BIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TN",
            "license": "MD29087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.