Cecilia E. Chao, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2005-0220 Issued in 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

Last updated

Feb 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX

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

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 CenterGroup PAC ID 7012991839, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pagosa Springs Medical Center Hospital, Pagosa Springs, CO, CCN 061328
• San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dulce Health Center

  • General Acute Care Hospital
  • Dulce, NM
  • NPI 1750388963

  TX

  Medicare reassignment Care Compare group NPD
• Jicarilla IHS Pharmacy

  dba Dulce IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Dulce, NM
  • NPI 1124220900
  NPD (past)

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

• San Juan Regional Medical Center Inc

  dba SJRMC Inpatient Rehab Unit

  • Rehabilitation Hospital Unit
  • Farmington, NM
  • NPI 1326663592
  Care Compare affiliation
• San Juan Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Farmington, NM
  • NPI 1427058510
  Care Compare affiliation
• Upper San Juan Health Service District

  dba Pagosa Springs Medical Center

  • Critical Access Hospital
  • Pagosa Springs, CO
  • NPI 1245401561
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1881608487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "address_2": "TWO BEAR RUN",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875201095",
            "telephone_number": "505-756-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "address_2": "JICARILLA SERVICE UNIT",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280187",
            "telephone_number": "505-759-3291",
            "fax_number": "505-759-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "CECILIA",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2005-0220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robbert Ayres
• Katherine E Berry, RDH
• Maricela Bonilla, O.D.
• Joshua Greer Carney, DMD
• Priscilla T Carrillo, RN
• Raquel Irene Cisneros, M.D.
• Jennifer Lea Lea Claycomb, MD
• Diana Connell, RN
• Susan Constance, RN
• Samuel Taylor Cropp, PHARM.D.

• Internal Medicine Physician in Dulce, NM
• Providers in Dulce, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.