NPIMap

Individual provider Active NPI

Anthony David Chismark, MD

  • Colon & Rectal Surgery Physician
  • Exeter, NH
National Provider Identifier
1679583389
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
13146 Issued in NH
Practice address
3 Alumni Dr
Ste 201
Exeter, NH 03833-2119
Phone
(603) 775-7405
Fax
(603) 775-7424
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13146 NH
Colon & Rectal Surgery Physician 208C00000X 13146 NH Primary

Addresses

Primary practice location

3 Alumni Dr
Ste 201
Exeter, NH 03833-2119

Mailing address

PO Box 655
Exeter, NH 03833-0655
Phone (603) 775-7405

Other identifiers 1

IdentifierTypeStateIssuer
30206138MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000124 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5991708364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Geisel School of Medicine at Dartmouth, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

50 New Scotland Ave
Albany, NY 12208-3403
Phone (518) 262-9777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Surgery CurrentSince Aug 1, 2019 Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

50 New Scotland Ave
Fl 5
Albany, NY 12208

50 New Scotland Ave
#193
Albany, NY 12208
Phone (518) 262-1524

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

3 Crossing Blvd
Ste 2
Clifton Park, NY 12065
Phone (518) 264-3600

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

71 Prospect Ave
Ste 190
Hudson, NY 12534
Phone (518) 697-3000

1561 Ulster Ave
Lake Katrine, NY 12449
Phone (518) 339-6755

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

1769 Union St
Ste 2
Niskayuna, NY 12309
Phone (518) 382-1151

Interoperability endpoints

  • Direct secure messaging: achismark20998@albanymed.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1679583389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038330655",
            "telephone_number": "603-775-7405",
            "fax_number": "603-775-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ALUMNI DR",
            "address_2": "STE 201",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332119",
            "telephone_number": "603-775-7405",
            "fax_number": "603-775-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISMARK",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "13146",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NH",
            "license": "13146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206138",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.