Individual provider Active NPI

Stan H Chao, M.D.

  • Surgery Physician
  • Taos, NM
National Provider Identifier
1952337677
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2009-0462 Issued in NM
Practice address
1397 Weimer Rd
Taos, NM 87571-6253
Phone
(575) 751-5835
NPI assigned
Jun 24, 2006
Last updated
Aug 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2009-0462 NM Primary

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-6253

Mailing address

2015 La Mesa Dr
Raton, NM 87740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MP2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090807000184 NM Practitioner - General Surgery 0446209977 Reassigns benefits to 2 organizations
I20180406000966 MP Practitioner - General Surgery 0446209977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2009-0462NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Mar 2, 2023 Accepting new patients
Taos Professional Services, LLC CurrentSince Mar 2, 2023 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Mar 13, 2018 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Mar 13, 2018 Accepting new patients
Taos Professional Services,LLC Surgery CurrentSince Mar 2, 2023 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital CurrentSince Mar 2, 2023 Accepting new patients
Southeast Volusia Medical Services Inc Surgery Past Accepting new patients

Locations

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

330 Paseo del Pueblo Sur
Ste F
Taos, NM 87571
Phone (575) 751-8902

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1952337677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 LA MESA DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "87740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-751-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "STAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2009-0462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.