Active NPI
Nelson Tan Chao, M.D.
- Internal Medicine Physician
- Shelton, CT
National Provider Identifier
1619974896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 032857
- Practice address
- 4 Corporate Dr
Suite 268
Shelton, CT 06484-6211 - Phone
- (203) 402-0377
- Fax
- (203) 402-0772
- NPI assigned
- Jul 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 032857 | CT | |
| Internal Medicine Physician | 207R00000X | 032857 | CT | Primary |
| Allergy & Immunology Physician | 207K00000X | 032857 | CT |
Addresses
Primary practice location
4 Corporate Dr
Suite 268
Shelton, CT 06484-6211
Mailing address
4 Corporate Dr
Suite 268
Shelton, CT 06484-6211
Phone (203) 402-0377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 Corporate Dr
Suite 268
Shelton, CT 06484-6264
Phone (203) 402-0377
Hospital & facility affiliations
- Stratford Vna
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.25 of 100
- Quality
- 57.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 43.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032857 | CT | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Pulmonary Specialists PC | Allergy & Immunology | Current | Accepting new patients |
Locations
4 Corporate Dr
Ste 268
Shelton, CT 06484
Phone (203) 402-0377
Interoperability endpoints
- https://api.platform.athenahealth.com/15090/brand/1/csg/1/fhir/r4
- nelson.chao.1@15090.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Shelton, CT
- NPI 1275755902
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- Home Health Agency
- Stratford, CT
- NPI 1336178276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1619974896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CORPORATE DR",
"address_2": "SUITE 268",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846211",
"telephone_number": "203-402-0377",
"fax_number": "203-402-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CORPORATE DR",
"address_2": "SUITE 268",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846211",
"telephone_number": "203-402-0377",
"fax_number": "203-402-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "NELSON",
"middle_name": "TAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-04",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "032857",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "032857",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "032857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.