Active NPI
Kimbo Chia M.D., P.C.
- Surgery Physician
- Buffalo, NY
National Provider Identifier
1811227960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 204877NY
- 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.
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
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.
-
- Surgery Physician
- Buffalo, NY
- NPI 1326159237
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.