NPIMap

Individual provider Active NPI

Jeffrey Chimahosky, D.O.

  • Internal Medicine Physician
  • Pottsville, PA
National Provider Identifier
1891723953
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS013721 Issued in PA
Practice address
1720 W Market St
Pottsville, PA 17901-2141
Phone
(570) 622-1910
Fax
(570) 622-5030
NPI assigned
Jun 29, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS013721 PA Primary

Addresses

Primary practice location

1720 W Market St
Pottsville, PA 17901-2141

Mailing address

1720 W Market St
PO Box 1263
Pottsville, PA 17901-2141
Phone (570) 622-1910

Other identifiers 5

IdentifierTypeStateIssuer
I60474OtherPAHEALTH AMERICA
1879830OtherPAHIGHMARK BLUE SHIELD
50065175OtherPAKEYSTONE HEALTH PLANS
50065175OtherPACAPITAL BLUE CROSS
102014 S154OtherPAGEISINGER HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060919000096 PA Practitioner - Internal Medicine 9638174063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1720 W Market St
Suite 1
Pottsville, PA 17901-2141
Phone (570) 622-1910

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chimahosky Internal Medicine PC Internal Medicine CurrentSince Mar 31, 2010 Accepting new patients
Family Practice Center, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hettick Internal Medicine Internal Medicine Past Accepting new patients
Kandra, Fierer, Kuskin Assoc., LTD Internal Medicine Past Accepting new patients

Locations

1720 W Market St
Pottsville, PA 17901
Phone (570) 622-1910

1720 W Market St
Ste 1
Pottsville, PA 17901
Phone (570) 622-1910

Organizations & group practices 5

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1891723953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W MARKET ST",
            "address_2": "PO BOX 1263",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012141",
            "telephone_number": "570-622-1910",
            "fax_number": "570-622-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012141",
            "telephone_number": "570-622-1910",
            "fax_number": "570-622-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMAHOSKY",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "I60474",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1879830",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLANS",
            "identifier": "50065175",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50065175",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLANS",
            "identifier": "102014 S154",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.