Cecilia E. Chao, M.D.
Individual provider Active NPI Internal Medicine Physician · Dulce, NM
NPI 1881608487 · NPPES record last updated Feb 14, 2017
Key facts
- NPI
- 1881608487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD2005-0220 (NM)
- Practice address
- PO Box 187
Jicarilla Service Unit
Dulce, NM 87528-0187 - Phone
- (505) 759-3291
- Fax
- (505) 759-7294
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Georgetown University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dulce Health Center
Practice addresses (Care Compare)
500 N Mundo
Dulce, NM 87528-0187
500 N Mundo Dr
Dulce, NM 87528-5176
Phone (575) 759-3291
PO Box
Suite 187
Dulce, NM 87528-0187
Hospital & facility affiliations
- Pagosa Springs Medical Center
- San Juan Regional Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922001089 | TX | Practitioner - Internal Medicine | 0941234546 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulce Health Center | Current |
Accepting new patients | |
| Jicarilla IHS Pharmacy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2005-0220 | NM | Yes |
Addresses
Primary practice location
PO Box 187
Jicarilla Service Unit
Dulce, NM 87528-0187
Mailing address
PO Box 1095
Two Bear Run
Chama, NM 87520-1095
Phone (505) 756-2582
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92531547 | Medicaid | NM | |
| 8HE353 | Other | NM | PROVIDER NO. |
| HSZ196 | Other | NM | MEDICARE PART B |
| 000K3526 | Medicaid | NM |
Other providers in Dulce, NM
- Nicholas Robbert Ayres
- Katherine E Berry
- Maricela Bonilla
- Joshua Greer Carney
- Priscilla T Carrillo
- Raquel Irene Cisneros
- Jennifer Lea Lea Claycomb
- Diana Connell
- Susan Constance
- Samuel Taylor Cropp
All providers in Dulce, NM · Internal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.