Individual provider Active NPI

Vern Michael Chuba, DPM

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
National Provider Identifier
1891780599
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003111-C Issued in OH
Practice address
819 McCartney Rd
Youngstown, OH 44505-5047
Phone
(330) 746-7660
Fax
(330) 746-8581
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003111-C OH Primary

Addresses

Primary practice location

819 McCartney Rd
Youngstown, OH 44505-5047

Mailing address

395 N Hermitage Rd
Ste 3
Hermitage, PA 16148-3373
Phone (330) 759-7920

Other identifiers 2

IdentifierTypeStateIssuer
2262304MedicaidOH
000000236058OtherOHANTHEMBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040629000077 OH Practitioner - Podiatry 8022091321 Reassigns benefits to 1 organization
I20101228000113 PA Practitioner - Podiatry 8022091321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates Family Foot Care, LLCGroup PAC ID 4688657984, 3 clinicians
Valley Foot and Ankle CenterGroup PAC ID 7416145941, 2 clinicians

Practice addresses (Care Compare)

16813 Saint Clair Ave
Suite 404
East Liverpool, OH 43920-9481
Phone (330) 385-2227

3622 Belmont Ave
Youngstown, OH 44505-1444
Phone (330) 759-8690

395 N Hermitage Rd
Hermitage, PA 16148-3373
Phone (724) 347-3667

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue848
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003111-COHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates Family Foot Care, LLC Foot & Ankle Surgery CurrentSince Oct 1, 2010 Accepting new patients
Valley Foot and Ankle Center Foot & Ankle Surgery CurrentSince Oct 1, 2010 Accepting new patients
Associates Family Foot Care, LLC Foot & Ankle Surgery CurrentSince Jan 4, 2002 Accepting new patients
Youngstown Ohio Physician Services Company LLC Past Accepting new patients
Youngstown Ohio Hospital Company LLC Past Accepting new patients

Locations

16813 Saint Clair Ave
Ste 404
East Liverpool, OH 43920
Phone (330) 385-2227

8307 Windham St
Ste 2
Garrettsville, OH 44231
Phone (330) 527-4088

3000 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-2603

819 McCartney Rd
Youngstown, OH 44505
Phone (330) 743-1738

214 Churchill Hubbard Rd
Youngstown, OH 44505
Phone (330) 759-8097

3622 Belmont Ave
Ste 16
Youngstown, OH 44505
Phone (330) 759-8690

395 N Hermitage Rd
Ste 3
Hermitage, PA 16148

395 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 347-3667

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1891780599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N HERMITAGE RD",
            "address_2": "STE 3",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483373",
            "telephone_number": "330-759-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055047",
            "telephone_number": "330-746-7660",
            "fax_number": "330-746-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBA",
        "first_name": "VERN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003111-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2262304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS",
            "identifier": "000000236058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.