Individual provider Active NPI

Chima O Chionuma, MD

  • Pediatrics Physician
  • Liverpool, NY
National Provider Identifier
1669437687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1901291 Issued in NY
Practice address
7711 Oswego Road
Liverpool, NY 13090
Phone
(315) 622-3155
Fax
(315) 652-1493
NPI assigned
Apr 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1901291 NY Primary

Addresses

Primary practice location

7711 Oswego Road
Liverpool, NY 13090

Mailing address

7711 Oswego Road
Liverpool, NY 13090
Phone (315) 622-3155

Other identifiers 1

IdentifierTypeStateIssuer
01426200MedicaidNY

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
I20070703000067 NY Practitioner - Pediatric Medicine 4082714118 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1901291NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince Apr 5, 2016 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince Apr 5, 2016 Accepting new patients

Locations

819 S Salina St
Syracuse, NY 13202

Interoperability endpoints

  • Direct secure messaging: cchionuma@hiemail.healtheconnections.org
  • Direct secure messaging: cchionuma685984@direct.ochin.org
  • Direct secure messaging: chima.chionuma.p1@direct.schcny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669437687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 OSWEGO ROAD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090",
            "telephone_number": "315-622-3155",
            "fax_number": "315-652-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 OSWEGO ROAD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090",
            "telephone_number": "315-622-3155",
            "fax_number": "315-652-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIONUMA",
        "first_name": "CHIMA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1901291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01426200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.