Vivian Nkem Chidi

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT195484 Issued in PA

Practice address

1698 E McAndrews Rd
Ste 170
Medford, OR 97504-5589

Phone

(541) 732-8500

Fax

(541) 732-8501

NPI assigned

Aug 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Professionals of Holmes County, Inc.Group PAC ID 6002916194, 40 clinicians

The Gastroenterology Clinic and Endoscopy Center IncGroup PAC ID 3274429477, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337
• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vchidi756145@oc.providencedirect.org

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.

• The Gastroenterology Clinic & Endoscopy Center Inc

  • Gastroenterology Physician
  • Warren, OH
  • NPI 1952497117
  Medicare reassignment Care Compare group NPD
• Health Professionals of Holmes County, Inc

  • Specialist
  • Sugarcreek, OH
  • NPI 1083897060
  Medicare reassignment Care Compare group
• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment NPD
• Uvpc Specialists Inc.

  • Surgery Physician
  • Troy, OH
  • NPI 1831115492
  Medicare reassignment NPD
• Health Professionals of Holmes County, Inc

  • Urgent Care Clinic/Center
  • Millersburg, OH
  • NPI 1528726296
  NPD
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD
• Uvpc Specialists, Inc.

  • Orthopaedic Surgery Physician
  • Troy, OH
  • NPI 1699911446
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1457517849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-732-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 E MCANDREWS RD",
            "address_2": "STE 170",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045589",
            "telephone_number": "541-732-8500",
            "fax_number": "541-732-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDI",
        "first_name": "VIVIAN",
        "middle_name": "NKEM",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "126377",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD181130",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT195484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vchidi756145@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1698 E McAndrews Rd Ste 400",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975045590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maryann Cheshire, RPH
• Brianna Ralston Chessik, AUD
• Larry Cheuvront
• Jenny Chiang
• Joseph Chick
• Rosemary O Chiedozi, MD
• Uzomechine Thabiso Chiedozi, MD
• Jennifer W Childers, M.D.
• Jeff E Childreth, DMD
• Chiron Center Incorporated

• Internal Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.