Paul Blake Chism

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

E-10635 Issued in AR

Practice address

9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333

Phone

(501) 748-3210

Fax

(501) 227-9151

NPI assigned

Apr 4, 2014

Last updated

Nov 14, 2024By 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 1

Medicare fee-for-service enrollment

Enrolled in AR, CA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Arkansas College of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians

John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians

Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians

County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
• Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
• Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

Merit-based Incentive Payment System (MIPS)

Final score

79.56 of 100Reported as group

Quality

76.8

Improvement activities

40

Cost

74.38

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pchism235853@santaclaravalley.direct-ci.net
• Direct secure messaging: pchism438630@direct.baptist-healthar.org
• Direct secure messaging: pchism537141@direct.hopkinsmedicine.org
• Direct secure messaging: pchism738833@hisp.ehr.sutterhealth.org

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.

• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1831756139

  AR

  Medicare reassignment Care Compare group NPD
• John Muir Magnetic Imaging Center

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1235184110

  AR

  Medicare reassignment Care Compare group NPD
• Magnetic Imaging Affiliates, LLC

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1487040770

  AR

  Medicare reassignment Care Compare group NPD
• County of Santa Clara

  dba Josefina Narvaez Mental Health Center MH Aoa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment Care Compare group
• John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1093864837
  Medicare reassignment Care Compare group
• Arkansas Health Group

  dba Baptist Health Radiology Physicians

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1861216327
  Medicare reassignment NPD
• Radiology Consultants of Little Rock, PA

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1639124118
  Medicare reassignment NPD
• Solano Diagnostics Partners a Calif Limited Partnership

  dba Solano Diagnostics Imaging

  • Diagnostic Radiology Physician
  • Fairfield, CA
  • NPI 1811940661

  AR

  Medicare reassignment NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Antioch, CA
  • NPI 1134375207
  NPD
• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Berkeley, CA
  • NPI 1871749754
  NPD
• County of Santa Clara

  dba O'Connor Medical Clinic Forest

  • Clinic/Center
  • San Jose, CA
  • NPI 1073265914
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  Care Compare affiliation
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777
  Care Compare affiliation
• Sutter Bay Hospitals

  dba Eden Medical Center

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1063812907
  Care Compare affiliation
• Sutter Bay Hospitals

  dba Alta Bates Summit Medical Center - Summit Campus

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation
• Sutter Bay Hospitals

  dba Alta Bates Summit Medical Center - Alta Bates Campus

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004
  Care Compare affiliation

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1871911925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-748-3210",
            "fax_number": "501-227-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-748-3210",
            "fax_number": "501-227-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "PAUL",
        "middle_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-10635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D86827",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Wellness Center, LLC
• Chiroservices Inc
• Chirowest PA (MaxHealth Injury Care)
• Dan P Chisholm, MD
• Jeresa Lenell Chisholm
• Valerie Diane Chism, APN
• Meghana Chithirala
• Shung Ming Chiu, MBBS
• Chloe Poirot, PT, DPT, LLC
• Andrea Irwin Choate, M.D.

• Diagnostic Radiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Diagnostic Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.