Individual provider Active NPI

Chinta Tony Chiu, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1710991245
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214850 Issued in NY
Practice address
13360 41St Ave
Second Floor
Flushing, NY 11355-5811
Phone
(718) 886-1664
Fax
(718) 886-1943
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X 214850 NY Primary

Addresses

Primary practice location

13360 41St Ave
Second Floor
Flushing, NY 11355-5811

Mailing address

13360 41St Ave
Second Floor
Flushing, NY 11355-5811
Phone (718) 886-1664

Other identifiers 3

IdentifierTypeStateIssuer
01997502MedicaidNY
03774OtherGHI
50C247OtherBCBS

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
I20040309000300 NY Practitioner - Internal Medicine 2668360892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 -60
2ND Floor
Flushing, NY 11355-5811
Phone (718) 886-1664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214850NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinta Tony Chiu MD. PC. Internal Medicine CurrentSince Jun 12, 2011 Accepting new patients

Locations

13360 41st Ave
Fl 2
Flushing, NY 11355
Phone (718) 886-1664

13633 37th Ave
Ste 6D
Flushing, NY 11354

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGEGBA/Endpoint/HGEGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGEGBA

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710991245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13360 41ST AVE",
            "address_2": "SECOND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555811",
            "telephone_number": "718-886-1664",
            "fax_number": "718-886-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13360 41ST AVE",
            "address_2": "SECOND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555811",
            "telephone_number": "718-886-1664",
            "fax_number": "718-886-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "CHINTA",
        "middle_name": "TONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01997502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "03774",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50C247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.