Individual provider Active NPI

Stephanie Chiu, M.D.

  • Family Medicine Physician
  • Rawlins, WY
National Provider Identifier
1508152786
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11866C Issued in WY
Practice address
1016 W Spruce St Unit a
Rawlins, WY 82301-5371
Phone
(307) 328-5595
Fax
(307) 328-5561
NPI assigned
Jun 25, 2011
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0051537 CO
Family Medicine Physician 207Q00000X 4056 CO
Family Medicine Physician 207Q00000X 11866C WY Primary
Hospitalist Physician 208M00000X 51537 CO

Addresses

Primary practice location

1016 W Spruce St Unit a
Rawlins, WY 82301-5371

Mailing address

PO Box 1687
Rawlins, WY 82301-1687
Phone (702) 453-3799

Other identifiers 1

IdentifierTypeStateIssuer
01788566MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20190313001129 WY Practitioner - HospitalistPractitioner - Family Practice 1456576545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1016 W Spruce St
Unit a
Rawlins, WY 82301-5371
Phone (307) 328-5595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.75 of 100Reported as individual
Quality
98.24
Improvement activities
40
Cost
68.19

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4056COMDChiropractor
51537COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valence Health Corp PC Family Medicine CurrentSince Jul 21, 2020 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Riverton Physician Practices LLC CurrentSince Feb 6, 2019 Accepting new patients
Riverton Physician Practices LLC CurrentSince Feb 6, 2019 Accepting new patients
Rawlins SNF Operations, LLC Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Locations

1016 W Spruce St
Unit A
Rawlins, WY 82301
Phone (307) 324-8494

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22687/brand/1/csg/1/fhir/r4
  • Direct secure messaging: schiu@yourcarecommunity.org
  • Direct secure messaging: stephanie.chiu.1@22687.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1508152786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823011687",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W SPRUCE ST UNIT A",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015371",
            "telephone_number": "307-328-5595",
            "fax_number": "307-328-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0051537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "4056",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11866C",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "51537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788566",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.