Individual provider Active NPI

Peerapod Chiowanich, MD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1407886658
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220949 Issued in NY
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220949 NY Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110103000160 NY Practitioner - Diagnostic Radiology 1456549757 Reassigns benefits to 6 organizations
I20190820001183 SC Practitioner - Diagnostic Radiology 1456549757
I20200405000089 TX Practitioner - Diagnostic Radiology 1456549757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians

Practice addresses (Care Compare)

9002 Queens Blvd
Apt 432
Elmhurst, NY 11373-4962
Phone (952) 595-1100

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.3 of 100Reported as group
Quality
91.79
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220949NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2022 Accepting new patients
Self Regional Healthcare Partners Diagnostic Radiology Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 9, 2020 Accepting new patients
United Memorial Medical Center Current Accepting new patients
The Unity Hospital of Rochester CurrentSince May 1, 2021 Accepting new patients
Rochester General Hospital Current Accepting new patients
United Memorial Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 27, 2020 Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

Interoperability endpoints

  • Direct secure messaging: pchiowanich149699@uihcdirect.org

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1407886658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIOWANICH",
        "first_name": "PEERAPOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "220949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.