Individual provider Active NPI

Rafael Chiu, M.D.

  • Ophthalmology Physician
  • Shelton, CT
National Provider Identifier
1437156312
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
042662 Issued in CT
Practice address
9 Cots St Ste 1a
Shelton, CT 06484-3866
Phone
(203) 924-8800
Fax
(203) 924-0388
NPI assigned
Jul 7, 2005
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 042662 CT Primary

Addresses

Primary practice location

9 Cots St Ste 1a
Shelton, CT 06484-3866

Mailing address

9 Cots St Ste 1a
Shelton, CT 06484-3866
Phone (203) 924-8800

Other identifiers 1

IdentifierTypeStateIssuer
001426627MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040916000481 CT Practitioner - Ophthalmology 8224931217

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.09 of 100Reported as group
Quality
96.19
Improvement activities
40
Cost
75.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042662CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinke Eye Center, LLC Ophthalmology Current Accepting new patients

Locations

9 Cots St
Ste 1A
Shelton, CT 06484
Phone (203) 924-8800

Interoperability endpoints

  • Direct secure messaging: rchiu@pinkeeyecenter.intellechartdirect.net

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1437156312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COTS ST STE 1A",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843866",
            "telephone_number": "203-924-8800",
            "fax_number": "203-924-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COTS ST STE 1A",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843866",
            "telephone_number": "203-924-8800",
            "fax_number": "203-924-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "042662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001426627",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.