Individual provider Active NPI

Chris Metter

  • Anatomic Pathology & Clinical Pathology Physician
  • Stony Brook, NY
National Provider Identifier
1790195170
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01085923A Issued in IN
Practice address
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone
(631) 444-4000
NPI assigned
May 6, 2014
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01085923A IN Primary

Addresses

Primary practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Mailing address

2560 N Shadeland Ave
Ste a
Indianapolis, IN 46219-1706
Phone (210) 269-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211008001132 IN Practitioner - Pathology 0143628941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ameripath Indianapolis PCGroup PAC ID 2961475058, 35 clinicians

Practice addresses (Care Compare)

2560 N Shadeland Ave
Suite a
Indianapolis, IN 46219-1706
Phone (317) 275-8072

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ameripath Indianapolis PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 7, 2021 Accepting new patients
Ameripath Indianapolis PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 7, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13179 Collection Ctr Dr
Chicago, IL 60693

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

2560 N Shadeland Ave
Ste A
Indianapolis, IN 46219
Phone (317) 275-8000

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

Interoperability endpoints

  • Direct secure messaging: cmetter91486@direct.phhs.org

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1790195170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 N SHADELAND AVE",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191706",
            "telephone_number": "210-269-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTER",
        "first_name": "CHRIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01085923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.