Active NPI
Kimbo B Chia, M. D., F . A . C. S.
- Surgery Physician
- Buffalo, NY
National Provider Identifier
1326159237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 204877
- Practice address
- 564 Niagara St
Buffalo, NY 14201-1108 - Phone
- (716) 332-0678
- Fax
- (716) 332-0679
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 204877 | NY | Primary |
Addresses
Primary practice location
564 Niagara St
Buffalo, NY 14201-1108
Mailing address
564 Niagara St
Buffalo, NY 14201-1108
Phone (716) 332-0678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01582998 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- General Surgery
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
564 Niagara St
Buffalo, NY 14201-1108
Phone (716) 884-0569
Hospital & facility affiliations
- Vna of Western Ny Chha
- Kaleida Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000103-1 | NY | MD | Diagnostic Radiology Physician |
| 204877 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Past | Accepting new patients |
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.
-
- Surgery Physician
- Buffalo, NY
- NPI 1811227960
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1326159237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011108",
"telephone_number": "716-332-0678",
"fax_number": "716-332-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011108",
"telephone_number": "716-332-0678",
"fax_number": "716-332-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIA",
"first_name": "KIMBO",
"middle_name": "B",
"credential": "M. D., F . A . C. S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "204877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01582998",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.