Active NPI
Juddson T Chason, MD
- Urology Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D72475
- Practice address
- 600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1001 - Phone
- (410) 266-8049
- NPI assigned
- Mar 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | D72475 | MD | Primary |
Addresses
Primary practice location
600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1001
Mailing address
600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1001
Phone (410) 266-8049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Urology
- Education
- Northwestern University Feinberg Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 Franklin St
Johnstown, PA 15905-4305
1086 Franklin St E
Johnstown, PA 15905-4305
Phone (814) 534-9104
1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194
1111 Franklin St
Johnstown, PA 15905-4341
Hospital & facility affiliations
- Conemaugh Memorial Medical Center
- Chan Soon- Shiong Medical Center at Windber
- Conemaugh Miners Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Conemaugh Health Initiatives | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
Interoperability endpoints
- jchason14539@direct.conemaugh.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| 1 Laurel Highlands Hospice Care | Hospice | W-2 Managing Employee | May 17, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Johnstown, PA
- NPI 1235990169
W-2 Managing Employee
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Plastic Surgery Physician
- Johnstown, PA
- NPI 1073516720
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
- Critical Access Hospital
- Hastings, PA
- NPI 1184620486
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1376668228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE",
"address_2": "SUITE 130",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011001",
"telephone_number": "410-266-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE",
"address_2": "SUITE 130",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011001",
"telephone_number": "410-266-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASON",
"first_name": "JUDDSON",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D72475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.