Individual provider Active NPI

Chuanxiang CHI, MD

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
National Provider Identifier
1609985506
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
227282 Issued in NY
Practice address
34 Greenway S
Forest Hills, NY 11375-5943
Phone
(718) 651-5713
Fax
(718) 651-5714
NPI assigned
Aug 30, 2006
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 227282 NY Primary

Addresses

Primary practice location

34 Greenway S
Forest Hills, NY 11375-5943

Mailing address

34 Greenway South
Forest Hills, NY 11375-5912
Phone (718) 651-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040320000152 NY Practitioner - Physical Medicine and Rehabilitation 8628969755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C and W Medical, LLCGroup PAC ID 7113912312, 2 clinicians

Practice addresses (Care Compare)

8708 Justice Ave
Elmhurst, NY 11373-4575
Phone (718) 651-5713

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C & W Medical, LLC CurrentSince Apr 1, 2004 Accepting new patients
W. C. Rheumatology, PLLC PastSince Jun 2, 2024 Accepting new patients
A.M. de Jesus Physical Therapy, PLLC PastSince Apr 1, 2004 Accepting new patients

Locations

8708 Justice Ave
Ste La
Elmhurst, NY 11373
Phone (718) 651-5713

3808 Union St
Ste 5E
Flushing, NY 11354
Phone (917) 563-1500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: chuanxiangchi@1045.mdlanddirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1609985506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREENWAY SOUTH",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755912",
            "telephone_number": "718-651-5713",
            "fax_number": "718-651-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREENWAY S",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755943",
            "telephone_number": "718-651-5713",
            "fax_number": "718-651-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "CHUANXIANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "227282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.