Active NPI
Edward A Chibaro, M.D.
- Urology Physician
- Derry, NH
National Provider Identifier
1861451239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- NH6724
- Practice address
- 44 Birch St
Derry, NH 03038-2752 - Phone
- (603) 434-6380
- Fax
- (603) 434-3626
- NPI assigned
- Mar 22, 2006
- Last updated
- Mar 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NH6724 | NH | Primary |
Addresses
Primary practice location
44 Birch St
Derry, NH 03038-2752
Mailing address
44 Birch St
Derry, NH 03038-2752
Phone (603) 434-6380
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4146695 | Other | NH | MVP HEALTHCARE |
| 0104597Y0NH02 | Other | NH | ANTHEM BCBS |
| 93989 | Other | NH | AETNA |
| NH0991 | Other | MA | BLUE CROSS BLUE SHIELD |
| 81340991 | Medicaid | NH | |
| B85951 | Other | NH | HARVARD PILGRIM |
| 006724 | Other | NH | TUFTS HEALTH PLAN |
| 1904021 | Other | NH | UNITED HEALTHCARE |
| 5150 | Other | NH | HEALTHSOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH6724 | NH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urological Surgery P.a. | Urology | Current | Accepting new patients |
| Merrimack Valley Sonographic Services,Inc. | Past | Accepting new patients |
Locations
44 Birch St
Ste 303
Derry, NH 03038
Phone (603) 421-2098
168 Kinsley St
Ste 20
Nashua, NH 03060
Phone (603) 880-3541
Organizations & group practices 2
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.
-
- Urology Physician
- Derry, NH
- NPI 1548229917
-
- Mobile Radiology Clinic/Center
- Derry, NH
- NPI 1255420469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1861451239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BIRCH ST",
"city": "DERRY",
"state": "NH",
"postal_code": "030382752",
"telephone_number": "603-434-6380",
"fax_number": "603-434-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BIRCH ST",
"city": "DERRY",
"state": "NH",
"postal_code": "030382752",
"telephone_number": "603-434-6380",
"fax_number": "603-434-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIBARO",
"first_name": "EDWARD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NH",
"license": "NH6724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "4146695",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "0104597Y0NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "93989",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NH0991",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81340991",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "B85951",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "006724",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1904021",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "5150",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.