Active NPI
Lydia Chantilas, MD
- Anesthesiology Physician
- Fort Thomas, KY
National Provider Identifier
1255324307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 32380
- Practice address
- 85 N Grand Ave
Fort Thomas, KY 41075-1793 - Phone
- (513) 672-3309
- Fax
- (513) 672-3323
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32380 | KY | Primary |
Addresses
Primary practice location
85 N Grand Ave
Fort Thomas, KY 41075-1793
Mailing address
11490 Springfield Pike
Cincinnati, OH 45246-3524
Phone (513) 672-3309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64323801 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP284 | KY | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel L French PSC | Past | Accepting new patients | |
| Pain Management Associates LLC | Past | Accepting new patients | |
| Riverhills Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
| Riverhills Medical Associates | Anesthesiology | Past | Accepting new patients |
| St. Luke Hospitals Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Florence, KY
- NPI 1255337952
-
- Anesthesiology Physician
- Fort Thomas, KY
- NPI 1649263799
-
- Anesthesiology Physician
- Fort Thomas, KY
- NPI 1538154182
-
- Obstetrics & Gynecology Physician
- Fort Thomas, KY
- NPI 1902910987
-
- Pain Medicine (Anesthesiology) Physician
- Cincinnati, OH
- NPI 1699775536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1255324307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11490 SPRINGFIELD PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463524",
"telephone_number": "513-672-3309",
"fax_number": "513-672-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N GRAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751793",
"telephone_number": "513-672-3309",
"fax_number": "513-672-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTILAS",
"first_name": "LYDIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "32380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64323801",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.