Individual provider Active NPI

Silas Mbasera Chikunguwo, MD PHD

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1447417480
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101244542 Issued in VA
Practice address
3406 Bartley Pond PL
Surgery
Richmond, VA 23233-1465
Phone
(804) 747-4238
Fax
(804) 747-4238
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57.012408 OH
Surgery Physician 208600000X 0101244542 VA Primary
Surgery Physician 208600000X 250211 NY

Addresses

Primary practice location

3406 Bartley Pond PL
Surgery
Richmond, VA 23233-1465

Mailing address

3406 Bartley Pond PL
Richmond, VA 23233-1465
Phone (804) 747-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250211NYMDSurgery Physician
57.012408OHMDSurgery Physician
0101244542VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince Dec 21, 2018 Accepting new patients
Chenango Memorial Hospital, Inc. Surgery Past Accepting new patients

Locations

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1447417480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BARTLEY POND PL",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331465",
            "telephone_number": "804-747-4238",
            "fax_number": "804-747-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BARTLEY POND PL",
            "address_2": "SURGERY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331465",
            "telephone_number": "804-747-4238",
            "fax_number": "804-747-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIKUNGUWO",
        "first_name": "SILAS",
        "middle_name": "MBASERA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.012408",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101244542",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "250211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.