Individual provider Active NPI

Stephanie Ann Chuipek, MD

  • Pediatrics Physician
  • Swarthmore, PA
National Provider Identifier
1891749578
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD032786E Issued in PA
Practice address
630 Fairview Rd
Suite 210
Swarthmore, PA 19081-2334
Phone
(610) 541-0155
Fax
(610) 541-0158
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD032786E PA Primary

Addresses

Primary practice location

630 Fairview Rd
Suite 210
Swarthmore, PA 19081-2334

Mailing address

630 Fairview Rd
Suite 210
Swarthmore, PA 19081-2334
Phone (610) 541-0155

Other identifiers 6

IdentifierTypeStateIssuer
814343OtherPAAETNA
1079506OtherPAKEYSTONE MERCY
539846OtherPABLUE CROSS
0115790001OtherPAKEYSTONE HEALTH PLAN EAST
1049219439OtherPAHEALTH PARTNERS
1232108MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20111006000405 PA Practitioner - Preventive Medicine 4688846058 Practice locations: Swarthmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Geisel School of Medicine at Dartmouth, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 Fairview Rd
Swarthmore, PA 19081-2334

630 Fairview Rd
Suite 210
Swarthmore, PA 19081-2336
Phone (610) 541-0155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swarthmore Pediatrics and Family Medicine Pediatrics PastSince Aug 7, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1891749578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD",
            "address_2": "SUITE 210",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812334",
            "telephone_number": "610-541-0155",
            "fax_number": "610-541-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD",
            "address_2": "SUITE 210",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812334",
            "telephone_number": "610-541-0155",
            "fax_number": "610-541-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUIPEK",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD032786E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "814343",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1079506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "539846",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0115790001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "1049219439",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1232108",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

Verify at the official NPI Registry.