Active NPI
Philbert H. Kuo, D.P.M.
- Podiatrist
- Chesapeake, VA
National Provider Identifier
1568605632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103001032
- Legal business name
- PHILBERT H. KUO, D.P.M.
- Practice address
- 3212 Churchland Blvd
Suite 10
Chesapeake, VA 23321-5262 - Phone
- (757) 483-4126
- Fax
- (757) 483-6443
- NPI assigned
- Apr 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philbert Kuo, D.P.M.
- Title
- Owner
- Phone
- (757) 483-4126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103001032 | VA | Primary |
Addresses
Primary practice location
3212 Churchland Blvd
Suite 10
Chesapeake, VA 23321-5262
Mailing address
3212 Churchland Blvd
Suite 10
Chesapeake, VA 23321-5262
Phone (757) 483-4126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009303651 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097719 | VA | DME Supplier - Physician - Podiatry | 4880892900 | Practice locations: Chesapeake, VA |
National Provider Directory
National Provider DirectoryLocations
3212 Churchland Blvd
Ste 10
Chesapeake, VA 23321
Phone (757) 483-4126
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Chesapeake, VA
- NPI 1487622445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247529600000",
"number": "1568605632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 CHURCHLAND BLVD",
"address_2": "SUITE 10",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215262",
"telephone_number": "757-483-4126",
"fax_number": "757-483-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 CHURCHLAND BLVD",
"address_2": "SUITE 10",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215262",
"telephone_number": "757-483-4126",
"fax_number": "757-483-6443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILBERT H. KUO, D.P.M.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-19",
"last_updated": "2009-07-14",
"status": "A",
"authorized_official_last_name": "KUO",
"authorized_official_first_name": "PHILBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-483-4126",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "VA",
"license": "0103001032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009303651",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.