NPIMap

Individual provider Active NPI

Bernard R. Chinnasami, MD

  • Hematology & Oncology Physician
  • High Point, NC
National Provider Identifier
1821017021
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35863 Issued in NC
Practice address
302 Westwood Ave
High Point, NC 27262-4324
Phone
(336) 781-4080
Fax
(336) 781-4081
NPI assigned
Jul 19, 2006
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35863 NC
Hematology & Oncology Physician 207RH0003X 35863 NC Primary

Addresses

Primary practice location

302 Westwood Ave
High Point, NC 27262-4324

Mailing address

624 Quaker LN
Ste. 207C
High Point, NC 27262-3832
Phone (336) 883-2500

Other identifiers 4

IdentifierTypeStateIssuer
CC4242OtherRR GROUP
110122235OtherRR MEDICARE
110122235OtherNCRRMC INDIVIDUAL #
8922357MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000415 NC Practitioner - Hematology/Oncology 1153462148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Ohio State University College of Homeopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 1, 2018 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Oct 1, 1995 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cornerstone Health Care, LLC Internal Medicine CurrentSince Oct 1, 1995 Accepting new patients

Locations

302 Westwood Ave
High Point, NC 27262
Phone (336) 781-4080

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

624 Quaker Ln
Ste 207C
High Point, NC 27262
Phone (336) 883-2500

810 N Lindsay St
High Point, NC 27262
Phone (336) 802-2060

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
High Point Medical CenterHigh Point, NC, CCN 340004 Hospital Corporate Director Jan 1, 2023
High Point Medical CenterHigh Point, NC, CCN 34T004 Hospital Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 7

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1821017021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN",
            "address_2": "STE. 207C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-883-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WESTWOOD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624324",
            "telephone_number": "336-781-4080",
            "fax_number": "336-781-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNASAMI",
        "first_name": "BERNARD",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35863",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "35863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "CC4242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110122235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC INDIVIDUAL #",
            "identifier": "110122235",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922357",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.