Individual provider Active NPI

Christopher Yan-CHI Chow, MD

  • Family Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1538111976
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20745 Issued in OK
Practice address
1551 N 9TH St
Broken Arrow, OK 74012-8898
Phone
(918) 455-3627
Fax
(918) 355-7929
NPI assigned
May 16, 2006
Last updated
May 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20745 OK Primary

Addresses

Primary practice location

1551 N 9TH St
Broken Arrow, OK 74012-8898

Mailing address

1551 N 9TH St
Broken Arrow, OK 74012-8898
Phone (918) 455-3627

Other identifiers 1

IdentifierTypeStateIssuer
100069230AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040913000546 OK Practitioner - Family Practice 1759358518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1551 N 9TH St
Broken Arrow, OK 74012-8898
Phone (918) 455-3627

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20745OKMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Sep 1, 2004 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2004 Accepting new patients

Locations

1551 N 9th St
Broken Arrow, OK 74012
Phone (918) 355-7900

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838

1245 S Utica Ave
Ste 101
Tulsa, OK 74104
Phone (855) 750-2273

Dept 1100
Tulsa, OK 74182

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: cchow113089@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1538111976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N 9TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128898",
            "telephone_number": "918-455-3627",
            "fax_number": "918-355-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N 9TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128898",
            "telephone_number": "918-455-3627",
            "fax_number": "918-355-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "CHRISTOPHER",
        "middle_name": "YAN-CHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.