Individual provider Active NPI

Tendai Michelle Chiware, M.D.

  • Reproductive Endocrinology Physician
  • Brooklyn, NY
National Provider Identifier
1710246855
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
299194 Issued in NY
Practice address
6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone
(718) 283-8600
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Reproductive Endocrinology Physician 207VE0102X 299194 NY Primary

Addresses

Primary practice location

6010 Bay Pkwy
Brooklyn, NY 11204-6079

Mailing address

6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone (718) 283-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20160825000676 VT Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0648421222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299194NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Fertility and Reproductive Medicine, P.C Reproductive Endocrinology PastSince Jul 17, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1710246855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-283-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-283-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIWARE",
        "first_name": "TENDAI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "299194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.