William Marshall Chisholm, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

53208 Issued in CO

Practice address

1400 S Potomac St
#150
Aurora, CO 80012-4528

Phone

(303) 306-4321

Fax

(720) 524-1551

NPI assigned

Apr 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

University of Colorado School of Medicine, Denver, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Optimal Home Care Loveland Home health agency, Loveland, CO, CCN 067546
• Bloom Hospice Hospice, Lakewood, CO, CCN 061618
• Brighton Hospice Colorado, LLC Hospice, Denver, CO, CCN 061613

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

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.

• Physician Housecalls LLC

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1295789824
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Colorado PC

  • Hospitalist Physician
  • Aurora, CO
  • NPI 1720184690

  Internal Medicine

  Medicare reassignment NPD
• Inpatient Consultants of Colorado PC

  • Podiatrist
  • Englewood, CO
  • NPI 1871892505

  Internal Medicine

  NPD
• Destiny Post Acute Care Services P.C

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1376319574
  NPD (past)
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256
  NPD (past)

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

• Bloom Hospice LLC

  dba Bloom Hospice

  • Community Based Hospice Care Agency
  • Lakewood, CO
  • NPI 1093470684
  Care Compare affiliation
• Brighton Hospice Colorado LLC

  • Community Based Hospice Care Agency
  • Denver, CO
  • NPI 1841847340
  Care Compare affiliation
• GSD Initiative LLC

  dba Optimal Home Care Loveland

  • Home Health Agency
  • Loveland, CO
  • NPI 1912384413
  Care Compare affiliation

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1932425923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST",
            "address_2": "#150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124528",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "WILLIAM",
        "middle_name": "MARSHALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "53208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59172282",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiro-Tech Health Center SC
• Chirocare PC
• Chiroplus Wellness Care, LLC
• Chirosport Chiropractic Clinic Inc.
• Chirosport Chiropractic Health Center P.C.
• Michael K Chism II, PMHNP-BC
• Sherita Chism
• Khaja Najibuddin Chisty, M.D
• Chia Yu Chiu, MD
• Sarah Chivington-Buck

• Geriatric Medicine (Family Medicine) Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Geriatric Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.