Active NPI
Samuel Chakola, M.D.
- Internal Medicine Physician
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 248627
- Practice address
- 330 Mount Auburn St
Cambridge, MA 02138-5502 - Phone
- (317) 560-2741
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 248627 | MA | Primary |
| Nephrology Physician | 207RN0300X | ML60664040 | WA |
Addresses
Primary practice location
330 Mount Auburn St
Cambridge, MA 02138-5502
Mailing address
1959 NE Pacific Street
Box 356174
Seattle, WA 98195
Phone (206) 598-9498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 N 2ND St
Douglas, WY 82633-2127
Phone (307) 237-5047
1106 Big Horn Ave
Worland, WY 82401-2803
Phone (307) 347-8801
1141 Wilkins Cir
Casper, WY 82601-1332
Phone (307) 472-3700
1405 Howell Ave
Worland, WY 82401-4127
Phone (307) 347-2555
419 S Washington St
Casper, WY 82601-2951
8195 State Hwy 789
Lander, WY 82520-2942
Phone (307) 237-5047
Hospital & facility affiliations
- Usrc Wyoming Kidney
- Banner Wyoming Medical Center
- Memorial Hospital of Converse County
- Sagewest Health Care
- Platte County Hospital
- Hot Springs County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.9 of 100
- Quality
- 68.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.04
Merit-based Incentive Payment System (MIPS)
- Final score
- 33.71 of 100
- Quality
- 39.66
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248627 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital | Current | Accepting new patients | |
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Community Hospital | Internal Medicine | Current | Accepting new patients |
| Banner Health Physicians West LLC | Current | Accepting new patients |
Locations
1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622
625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801
1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Casper, WY
- NPI 1063778728
-
- Multi-Specialty Clinic/Center
- Ogallala, NE
- NPI 1154687812
-
- Rural Health Clinic/Center
- Torrington, WY
- NPI 1174059786
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Casper, WY
- NPI 1508837865
Dialysis facility
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- Critical Access Hospital
- Guernsey, WY
- NPI 1265469506
-
- Rural Acute Care Hospital
- Lander, WY
- NPI 1245337286
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1932485604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC STREET",
"address_2": "BOX 356174",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-598-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "317-560-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKOLA",
"first_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "248627",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "ML60664040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.