Individual provider Active NPI

Joan Mihyun CHI, M.D.

  • Neuroradiology Physician
  • New York, NY
National Provider Identifier
1417335993
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
75774 Issued in NY
Practice address
162 W 56TH St Apt 1003
New York, NY 10019-3865
Phone
(718) 670-5000
NPI assigned
May 15, 2015
Last updated
Dec 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 75774 NY Primary

Addresses

Primary practice location

162 W 56TH St Apt 1003
New York, NY 10019-3865

Mailing address

162 W 56TH St Apt 1003
New York, NY 10019-3865

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201224000575 NY Practitioner - Diagnostic Radiology 4981948031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75774NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC CurrentSince Apr 1, 2021 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Neuroradiology CurrentSince Dec 15, 2020 Accepting new patients
Park West Radiology, PC Neuroradiology PastSince Jul 1, 2008 Accepting new patients
Koniver Fiss Mansoory MD PA PastSince Sep 15, 2021 Accepting new patients

Locations

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

27443 Network Pl
Chicago, IL 60673

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1417335993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W 56TH ST APT 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W 56TH ST APT 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193865",
            "telephone_number": "718-670-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "JOAN",
        "middle_name": "MIHYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "75774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.