Individual provider Active NPI

Kenneth B Chapman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
National Provider Identifier
1366494262
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
233952 Issued in NY
Practice address
1360 Hylan Blvd
Staten Island, NY 10305-1922
Phone
(718) 667-3577
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 233952 NY Primary
Interventional Pain Medicine Physician 208VP0014X 233952 NY

Addresses

Primary practice location

1360 Hylan Blvd
Staten Island, NY 10305-1922

Mailing address

1360 Hylan Blvd
Staten Island, NY 10305-1922
Phone (718) 667-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070412000593 NY Practitioner - AnesthesiologyPractitioner - Pain Management 2466557855 Reassigns benefits to 5 organizations
I20120709000421 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2466557855

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Anesthesia, PLLCGroup PAC ID 7517040066, 2 clinicians
Spine and Pain Consultant PLLCGroup PAC ID 8921158957, 6 clinicians

Practice addresses (Care Compare)

1360 Hylan Blvd
Staten Island, NY 10305-1922
Phone (347) 875-1797

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
66.51 of 100Reported as individual
Quality
37.38
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (17 of 21)

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
Richmond ASC LLC CurrentSince Feb 2, 2011 Accepting new patients
Specialty Anesthesia, PLLC CurrentSince Jun 12, 2007 Accepting new patients
Physicians of University Hospital, PC CurrentSince Mar 8, 2012 Accepting new patients
Physicians of University Hospital, PC CurrentSince Mar 8, 2012 Accepting new patients
Genovese Drug Stores Inc PastSince Feb 23, 2016 Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
1534 Victory DME, LLC PastSince Jul 1, 2011 Accepting new patients
Park East Pain Management Suite, PLLC PastSince Sep 20, 2010 Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
The Spine and Pain Institute of New York Past Accepting new patients
Specialty Anesthesia, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine & Pain Constulants Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

700 Rahway Ave
Union, NJ 07083
Phone (908) 688-1991

300 Community Dr
Plandome, NY 11030

1534 Victory Blvd
Staten Island, NY 10314
Phone (718) 447-0055

2348 Richmond Rd
Staten Island, NY 10306
Phone (718) 979-8400

1360 Hylan Blvd
Staten Island, NY 10305
Phone (718) 987-7300

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

373 Manor Rd
Staten Island, NY 10314

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1366494262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "718-667-3577",
            "fax_number": "347-875-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "718-667-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KENNETH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "233952",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "233952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.