Individual provider Active NPI

Christopher Niles, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1336333657
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
257413 Issued in NY
Practice address
555 Washington Ave Apt 4B
Brooklyn, NY 11238-2747
Phone
(718) 730-3980
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 257413 NY Primary

Addresses

Primary practice location

555 Washington Ave Apt 4B
Brooklyn, NY 11238-2747

Mailing address

555 Washington Ave Apt 4B
Brooklyn, NY 11238-2747
Phone (718) 730-3980

Other identifiers 1

IdentifierTypeStateIssuer
03233158MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20151022000032 VT Practitioner - Emergency Medicine 1254455322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New Mexico School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Center IncGroup PAC ID 5496714313, shared by 4 NPIs, 105 clinicians

Practice addresses (Care Compare)

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-5911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Aug 10, 2015 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Aug 10, 2015 Accepting new patients
Northwestern Medical Center, Inc. Past Accepting new patients

Locations

927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

260 Crest Rd
Ste 102
Saint Albans, VT 05478
Phone (802) 524-1064

260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1336333657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON AVE APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382747",
            "telephone_number": "718-730-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON AVE APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382747",
            "telephone_number": "718-730-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "257413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03233158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.