Jerome Donald Chao, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

224758-1 Issued in NY

Practice address

13 Century Hill Dr
Latham, NY 12110-2113

Phone

(518) 203-2582

Fax

(518) 203-2583

NPI assigned

Jul 24, 2006

Last updated

Jun 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2023 through Mar 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Certified Plastic Surgery of New York, PLLC

  • Plastic Surgery Physician
  • Saratoga Springs, NY
  • NPI 1962723122
  Authorized official Same address or phone
• Latham Anesthesiology PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Latham, NY
  • NPI 1184997488
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1467474866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102113",
            "telephone_number": "518-203-2582",
            "fax_number": "518-203-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102113",
            "telephone_number": "518-203-2582",
            "fax_number": "518-203-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "JEROME",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "224758-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02429110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Cerel, OTR/L
• Lynne Cetnar, SLP
• Ranen Chakraborty
• Taylor Champagne
• Anna Marie Chandler, MA
• Jennifer Charlesworth, D.M.D.
• Debra J. Check, D.D.S.
• Erika Cheffolway
• Meghan Olenyk Chernosky, OTR/L
• Jessica Lynn Chiweteoke, LMHC-P

• Plastic Surgery Physician in Latham, NY
• Providers in Latham, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.