NPIMap

Individual provider Active NPI

Brian Chase, M.D.

  • Family Medicine Physician
  • Canandaigua, NY
National Provider Identifier
1881847598
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253515 Issued in NY
Practice address
350 Parrish St
Canandaigua, NY 14424-1731
Phone
(585) 396-6129
Fax
(585) 396-6603
NPI assigned
Oct 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 253515 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X N/A

Addresses

Primary practice location

350 Parrish St
Canandaigua, NY 14424-1731

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 492-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000783 NY Practitioner - Family Practice 1759434475 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olive Tree Medical Associates PLLCGroup PAC ID 3072814383, 2 clinicians
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

Clinton, NY 13323
Phone (315) 207-4222

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 797-3114

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253515NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles T Sitrin Health Care Center, Inc CurrentSince Jun 5, 2018 Accepting new patients
MVHS Inc CurrentSince Nov 14, 2011 Accepting new patients
MVHS Inc Family Medicine CurrentSince Nov 14, 2011 Accepting new patients
Charles T. Sitrin Health Care Center, Inc Current Accepting new patients
Olive Tree Medical Associates PLLC Family Medicine CurrentSince Oct 15, 2015 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Past Accepting new patients
St Luke's Home Residential Health Care Facility Inc Past Accepting new patients

Locations

2050 Tilden Ave
New Hartford, NY 13413
Phone (315) 737-2466

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1881847598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-492-6400",
            "fax_number": "330-244-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241731",
            "telephone_number": "585-396-6129",
            "fax_number": "585-396-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253515",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.