Individual provider Active NPI

Christopher John Chicoskie, MD

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1689632325
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L9138 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075
Phone
(972) 596-6800
NPI assigned
May 3, 2006
Last updated
May 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L9138 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075

Mailing address

1820 Preston Park Blvd
1825
Plano, TX 75093-3656
Phone (972) 867-7862

Other identifiers 2

IdentifierTypeStateIssuer
8C8409OtherTXCOLLIN COUNTY PTAN
170872902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041117001229 TX Practitioner - AnesthesiologyPractitioner - Diagnostic Radiology 1759345820 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Aug 13, 2004 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Aug 13, 2004 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Mar 15, 2010 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1689632325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862",
            "fax_number": "972-612-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICOSKIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L9138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLIN COUNTY PTAN",
            "identifier": "8C8409",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170872902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.