Kellie Chiu

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD477605 Issued in PA

Practice address

45 Second Street Pike
Southampton, PA 18966-3822

Phone

(800) 818-4747

Fax

(410) 354-0186

NPI assigned

Mar 27, 2016

Last updated

Feb 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, CT, NJ, NY4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians

Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians

Princeton Radiology Associates PAGroup PAC ID 8022003367, 57 clinicians

Tic LLCGroup PAC ID 4880972819, 52 clinicians

Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

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.

• Connecticut Imaging Partners, LLC

  • Diagnostic Radiology Physician
  • Wethersfield, CT
  • NPI 1740315761

  PA

  Medicare reassignment Care Compare group NPD
• Diagnostic Centers of America LLP

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Delray Beach, FL
  • NPI 1730125261

  PA

  Medicare reassignment Care Compare group NPD
• Jefferson Radiology, PC

  • Diagnostic Radiology Physician
  • Hartford, CT
  • NPI 1396795951

  PA

  Medicare reassignment Care Compare group NPD
• Princeton Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Jamesburg, NJ
  • NPI 1063527232
  Medicare reassignment Care Compare group NPD
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791

  PA

  Medicare reassignment Care Compare group NPD
• Tic, LLC

  dba Tolland Imaging Center

  • Diagnostic Radiology Physician
  • Tolland, CT
  • NPI 1457702813

  PA

  Medicare reassignment Care Compare group NPD
• HR Physician Services

  dba HR Multispecialty Services

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
  • NPI 1881696698
  Medicare reassignment NPD
• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783

  NJ, PA

  Medicare reassignment NPD
• Farmington Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Farmington, CT
  • NPI 1275987802

  PA

  Medicare reassignment NPD
• Imaging Group of Delaware, PA

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1164421574

  PA

  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  PA

  Medicare reassignment NPD
• HR Physician Services

  dba Redeemer Health Infusion Therapy

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1679450910
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Redeemer Health System

  dba Holy Redeemer Hospital & Medical Center

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1619339850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787512",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787512",
            "fax_number": "410-354-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SECOND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663822",
            "telephone_number": "800-818-4747",
            "fax_number": "410-354-0186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 James L Redman Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335669400",
            "country_code": "US",
            "telephone_number": "813-759-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "KELLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-27",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "309561",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11474600",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME161054",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025071",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD477605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael E Clark, MD
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• Diagnostic Radiology Physician in Southampton, PA
• Providers in Southampton, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.