Charles A Kirby, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00000011473 Issued in TN

Practice address

5715 Cornelison Rd
6600 BLDG
Chattanooga, TN 37411-5661

Phone

(423) 892-3937

Fax

(423) 892-5443

NPI assigned

Aug 10, 2005

Reactivated

Mar 23, 2006

Last updated

May 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Ophthalmology

Education

University of Tennessee, HSC, College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chattanooga Eye Institute,P.C.Group PAC ID 5799742789, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/155265c8-cc75-4495-acc6-6ac5bd3a872e/

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.

• Chattanooga Eye Institute,P.C.

  dba none

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1265622450
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1740282755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 CORNELISON RD",
            "address_2": "6600 BLDG",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115661",
            "telephone_number": "423-892-3937",
            "fax_number": "423-892-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 CORNELISON RD",
            "address_2": "6600 BLDG",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115661",
            "telephone_number": "423-892-3937",
            "fax_number": "423-892-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-05-14",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000011473",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD00000011473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3191743",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Kinney
• Christy Kinsey
• Macy Kint, RPH, PHARMD, BCACP
• Joseph H. Kipikasa, M.D.
• Barbara Jean Kirby, RN
• Justin Lance Kirby
• Winnie Warun Kiri, A-GNP
• Kirk Brody, M.D.P.C.
• Kimberly Sellers Kirk, APRN
• Alexander Wayne Kirkendoll, BSN,RN,CCRN,SRNA

• Ophthalmology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.