Individual provider Active NPI

Chichuan Y. Kaminski, MD

  • Diagnostic Radiology Physician
  • Bethesda, MD
National Provider Identifier
1427168772
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
053766 Issued in GA
Practice address
6521 Winnepeg Rd
Bethesda, MD 20817-1607
Phone
(301) 530-5285
NPI assigned
Aug 30, 2006
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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 053766 GA Primary

Addresses

Primary practice location

6521 Winnepeg Rd
Bethesda, MD 20817-1607

Mailing address

6521 Winnepeg Rd
Bethesda, MD 20817-1607
Phone (301) 530-5285

Other identifiers 1

IdentifierTypeStateIssuer
G53766MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, NC, TX, SC, CA, OH, NH, MA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20070604000519 FL Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 1 organization
I20080111000204 MD Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 5 organizations
I20230510000162 NC Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 3 organizations
I20230511001360 TX Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 6 organizations
I20230518003423 SC Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 4 organizations
I20250317001439 CA Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 2 organizations
I20250603003429 OH Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 1 organization
I20251209000467 NH Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 1 organization
I20260102002828 MA Practitioner - Diagnostic Radiology 3274512686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 Ridgebrook Rd
Sparks, MD 21152-9481

930 Ridgebrook Rd
FL 3
Sparks, MD 21152-9458

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
37957TNMDPharmacist
053766GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kan-Di-Ki LLC CurrentSince Aug 1, 2018 Accepting new patients
American Diagnostics Services LLC CurrentSince Oct 15, 2020 Accepting new patients
Sheppard Pratt Physicians, P.a. CurrentSince Oct 5, 2020 Accepting new patients
Symphony Diagnostic Services No 1 LLC CurrentSince Nov 17, 2019 Accepting new patients
Metroamerican Radiology Consultants P a Diagnostic Radiology Past Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Premier Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients

Locations

965 E Yosemite Ave
Ste 24
Manteca, CA 95336
Phone (209) 239-0210

12612 Raymer St
North Hollywood, CA 91605
Phone (818) 549-1880

4400 140th Ave N
Ste 200
Clearwater, FL 33762
Phone (727) 443-0389

2 Jonathan Dr
Brockton, MA 02301
Phone (508) 313-0070

930 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (264) 532-5146

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

3801 Computer Dr
Ste 103A
Raleigh, NC 27609
Phone (336) 903-1794

133 Fleming St
Piscataway, NJ 08854
Phone (732) 264-8878

2294 Nostrand Ave
Ste 1003
Brooklyn, NY 11210
Phone (718) 377-3401

70 E Sunrise Hwy
Ste 500
Valley Stream, NY 11581
Phone (516) 884-9977

3418 Midcourt Rd
Ste 105
Carrollton, TX 75006
Phone (214) 227-8988

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1427168772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 WINNEPEG RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171607",
            "telephone_number": "301-530-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 WINNEPEG RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171607",
            "telephone_number": "301-530-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "CHICHUAN",
        "middle_name": "Y.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "053766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G53766",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.