Active NPI
Gary D Chaikin, M.D.
- Psychiatry Physician
- Rochester, MN
National Provider Identifier
1285859355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 40442-020
- Practice address
- 343 Woodlake Dr SE
Rochester, MN 55904-6242 - Phone
- (507) 289-2089
- Fax
- (507) 535-5791
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 40442-020 | WI | Primary |
Addresses
Primary practice location
343 Woodlake Dr SE
Rochester, MN 55904-6242
Mailing address
704 Sand Lake Rd
Onalaska, WI 54650-2400
Phone (608) 781-6463
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32497600 | Medicaid | WI | |
| 130171 | Other | UCARE | |
| 6K663CH | Other | MN | BCBS-MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Emory University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 E Belle Ter
Bakersfield, CA 93307-3871
Phone (661) 635-2950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40442-020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Kern | Psychiatry | Current | Accepting new patients |
| County of Kern | Psychiatry | Current | Accepting new patients |
Locations
2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1568658821
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1285859355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 SAND LAKE RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502400",
"telephone_number": "608-781-6463",
"fax_number": "608-781-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WOODLAKE DR SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046242",
"telephone_number": "507-289-2089",
"fax_number": "507-535-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAIKIN",
"first_name": "GARY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "40442-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32497600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "130171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MN",
"identifier": "6K663CH",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.