Organization Active NPI

Philbert H. Kuo, D.P.M.

  • Podiatrist
  • Chesapeake, VA
National Provider Identifier
1568605632
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103001032 Issued in VA
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

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Philbert Kuo, D.P.M.NPI 1487622445
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
009303651MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930097719 VA DME Supplier - Physician - Podiatry 4880892900 Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.