Active NPI
Anthony B Chillura, M.D.
- Anesthesiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2014-02286
- Practice address
- 10628 Park Rd
Charlotte, NC 28210-8407 - Phone
- (704) 667-1000
- NPI assigned
- Sep 26, 2006
- Last updated
- Sep 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME89369 | FL | |
| Anesthesiology Physician | 207L00000X | 2014-02286 | NC | Primary |
Addresses
Primary practice location
10628 Park Rd
Charlotte, NC 28210-8407
Mailing address
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone (704) 749-3116
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37725 | Other | FL | BCBS OF FL # |
| P00184171 | Other | FL | RR MEDICARE |
| 269479400 | Medicaid | FL | |
| ME89369 | Other | FL | FL MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Virginia Commonwealth University, School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 993-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of New York, P.C. | Anesthesiology | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Panhandle Anesthesiologists, Inc. | Anesthesiology | Past | Accepting new patients |
| Emerald Coast Hospitalist Inc | Past | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
767 Airport Rd
Panama City, FL 32405
Phone (850) 747-0400
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Hospitalist Physician
- Panama City, FL
- NPI 1144548793
-
- Anesthesiology Physician
- Panama City, FL
- NPI 1083630032
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
-
dba Atrium Health Pineville
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1285735464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 PARK SOUTH DR STE 510",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100100",
"telephone_number": "704-749-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108407",
"telephone_number": "704-667-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILLURA",
"first_name": "ANTHONY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME89369",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2014-02286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL #",
"identifier": "37725",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00184171",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269479400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICAL LICENSE",
"identifier": "ME89369",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.