Paul Dean Chambliss, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

216441 Issued in NY

Practice address

645 10TH Avenue
Ryan Chelsea Clinton Community Health
New York, NY 10036-2904

Phone

(212) 265-4500

Fax

(212) 265-6565

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1730303017
  Medicare reassignment NPD
• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson Heights, NY
  • NPI 1396238283
  NPD
• Bisher Akil MD a Medical Corp

  • Non-Pharmacy Dispensing Site
  • New York, NY
  • NPI 1982625950
  NPD (past)
• Chelsea Village Medical

  • Internal Medicine Physician
  • New York, NY
  • NPI 1952580367
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1841251980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 10TH AVENUE",
            "address_2": "RYAN CHELSEA CLINTON COMMUNITY HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362904",
            "telephone_number": "212-265-4500",
            "fax_number": "212-265-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 10TH AVENUE",
            "address_2": "RYAN CHELSEA CLINTON COMMUNITY HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362904",
            "telephone_number": "212-265-4500",
            "fax_number": "212-265-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "PAUL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Chambers
• Tricia Chambers, CRNA
• William Joseph Chambers, M.D.
• Ruth Chambi Johnson, M.D.
• Phelps Chamblin, FNP-BC
• Esthella Chambo
• Laurie Chameides, LCSW
• Nava Chameides, PA-C
• Jacqueline Chami, MD
• Bidhya Chamlagai, DNP, FNP-BC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.