Mark T. Chiu, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

88-17 Issued in NM

Practice address

806 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3657

Phone

(505) 842-6575

Fax

(505) 764-8796

NPI assigned

Sep 14, 2005

Last updated

Apr 25, 2008By 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 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NM

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

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Quality

87.66

Promoting interoperability

100

Improvement activities

40

Cost

69.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mchiu32874@ahs.direct-ci.com

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.

• Eye Associates of New Mexico LTD

  dba Eye Associates of New Mexico

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1104868520
  Medicare reassignment NPD
• Eye Associates of New Mexico LTD

  dba Eye Associates of New Mexico

  • Optician
  • Albuquerque, NM
  • NPI 1346003241

  Ophthalmology

  NPD
• Eye Associates of New Mexico LTD

  dba Eye Associates of New Mexico

  • Ophthalmology Physician
  • Gallup, NM
  • NPI 1063559961
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1821083932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE",
            "address_2": "SUITE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131533",
            "telephone_number": "505-828-4923",
            "fax_number": "505-246-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023657",
            "telephone_number": "505-842-6575",
            "fax_number": "505-764-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "MARK",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "88-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05140",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NM",
            "identifier": "NM000562",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "180014486",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91-088179",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Lifestyle Center, P.C.
• Krystalena Chischilly, LSAA
• Douglas Paul Chisholm, DMD
• Kelly Chisholm, LPCC
• Haywan Chiu, DPM
• Toby Chiu, PHARMD
• Wilson Chiu, MD
• Stephen J Chiulli, PH.D.
• Heather Cho, PHARMD
• Kristina Cho, CCC-SLP

• Ophthalmology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.