Individual provider Active NPI

John H. Chrostowski, MD

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1528063211
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0000027877 Issued in TN
Practice address
2158 Northgate Park LN
Suite 100
Chattanooga, TN 37415-6911
Phone
(423) 803-2460
Fax
(423) 803-2461
NPI assigned
Jun 17, 2005
Reactivated
Apr 4, 2006
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0000027877 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN
Suite 100
Chattanooga, TN 37415-6911

Mailing address

PO Box 11410
Chattanooga, TN 37401-2410
Phone (423) 803-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111114000338 TN Practitioner - Orthopedic Surgery 1557451952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2158 Northgate Park Lane
Suite 100
Chattanooga, TN 37415
Phone (423) 803-2460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000027877TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Chrostowski, MD,PLLC Orthopaedic Surgery CurrentSince Feb 29, 2016 Accepting new patients
Internal Medicine Education Foundation Inc PastSince Sep 5, 2023 Accepting new patients

Locations

2158 Northgate Park Ln
Ste 100
Chattanooga, TN 37415
Phone (423) 803-2460

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, 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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1528063211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11410",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012410",
            "telephone_number": "423-803-2460",
            "fax_number": "423-803-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156911",
            "telephone_number": "423-803-2460",
            "fax_number": "423-803-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROSTOWSKI",
        "first_name": "JOHN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "0000027877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.