Organization Active NPI

Kimbo Chia M.D., P.C.

  • Surgery Physician
  • Buffalo, NY
National Provider Identifier
1811227960
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
204877NY Issued in NY
Legal business name
KIMBO CHIA M.D., P.C.
Practice address
564 Niagara St
Buffalo, NY 14201-1108
Phone
(716) 332-0678
Fax
(716) 332-0679
NPI assigned
Jan 12, 2010
Organization subpart
Yes
Parent organization
KIMBO CHIA M.D.,P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Mr. Kimbo B Chia, M.D.NPI 1326159237
Title
Manager
Phone
(716) 332-0678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 204877NY NY Primary

Addresses

Primary practice location

564 Niagara St
Buffalo, NY 14201-1108

Mailing address

564 Niagara St
Buffalo, NY 14201-1108
Phone (716) 332-0678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000152 NY Part B Supplier - Clinic/Group Practice 1951438639 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory
Part of
Kimbo Chia MD PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1811227960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-332-0678",
            "fax_number": "716-332-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-332-0678",
            "fax_number": "716-332-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBO CHIA M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBO CHIA M.D.,P.C.",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "CHIA",
        "authorized_official_first_name": "KIMBO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-332-0678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "204877NY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.