Chockeo Syvanthong, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2011-00238 Issued in NC

Practice address

101 Manning Dr
1107G W Wing
Chapel Hill, NC 27514-4220

Phone

(919) 423-5264

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NC, VA, PA, CT, KS6 enrollments

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 6

Specialty

Diagnostic Radiology

Education

Wake Forest University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Family Medcenters PAGroup PAC ID 4688568751, 16 clinicians

Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Martinsville Physician Practices LLCGroup PAC ID 0143233346, 36 clinicians

Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sovah Health Danville Hospital, Danville, VA, CCN 490075
• Duke University Hospital Hospital, Durham, NC, CCN 340030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

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.

• Augusta Medical Group

  • General Practice Physician
  • Fishersville, VA
  • NPI 1245489590
  Medicare reassignment Care Compare group NPD
• Danville Physician Practices LLC

  dba SOVAH Physician Practices

  • Anesthesiology Physician
  • Danville, VA
  • NPI 1629022868
  Medicare reassignment Care Compare group NPD
• Family Medcenters, P.a.

  • Family Medicine Physician
  • Derby, KS
  • NPI 1285688358
  Medicare reassignment Care Compare group NPD
• Martinsville Physician Practices LLC

  • Internal Medicine Physician
  • Martinsville, VA
  • NPI 1255380887
  Medicare reassignment Care Compare group NPD
• Physicians for Women's Health LLC

  • Obstetrics & Gynecology Physician
  • Rocky Hill, CT
  • NPI 1801826680
  Medicare reassignment Care Compare group NPD
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Gwinnett Clinic LTD

  dba Gwinnett Clinic

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650
  Medicare reassignment Care Compare group
• Danville Diagnostic Imaging Center LLC

  dba Danville Diagnostic Imaging Center

  • Radiology Clinic/Center
  • Danville, VA
  • NPI 1649355595
  Medicare reassignment NPD
• Danville Radiologists Inc

  • Diagnostic Radiology Physician
  • Danville, VA
  • NPI 1528159639

  NC

  Medicare reassignment NPD
• Danville Regional Medical Center, LLC

  dba SOVAH Health Martinsville

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1225208705
  Medicare reassignment NPD
• OBGYN Partners of Augusta, Professional Corporation

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1801825104
  Medicare reassignment NPD

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

• Duke University Health System Inc

  dba Duke Raleigh Hospital, a campus of Duke University Hospital

  • Rehabilitation Hospital Unit
  • Raleigh, NC
  • NPI 1205225646
  Care Compare affiliation
• Duke University Health System Inc

  dba Duke Raleigh Hospital, a campus of Duke University Hospital

  • Clinical Medical Laboratory
  • Raleigh, NC
  • NPI 1306828108

  Hospital

  Care Compare affiliation
• Duke University Health System Inc

  dba Duke University Hospital

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1508847047

  Hospital

  Care Compare affiliation
• Duke University Health System, Inc.

  dba Duke University Hospital

  • Land Ambulance
  • Durham, NC
  • NPI 1417954942

  Hospital

  Care Compare affiliation
• Duke University Health System, Inc.

  dba Duke University Hospital

  • Rehabilitation Hospital Unit
  • Durham, NC
  • NPI 1538166061
  Care Compare affiliation
• Duke University Health System, Inc.

  dba Duke University Hospital

  • General Acute Care Hospital
  • Durham, NC
  • NPI 1992703540
  Care Compare affiliation
• Danville Regional Medical Center LLC

  dba SOVAH Health Martinsville

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1386720183
  Care Compare affiliation
• Danville Regional Medical Center, LLC

  dba SOVAH Health Danville

  • Rural Acute Care Hospital
  • Danville, VA
  • NPI 1154419737
  Care Compare affiliation

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1992861488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VAUXHALL PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178615",
            "telephone_number": "919-423-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "1107G W WING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-423-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYVANTHONG",
        "first_name": "CHOCKEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "060197",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2011-00238",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101251595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zafir Ali Syed
• Ann Elizabeth Symonds
• Synergy Care and Counseling
• Synergy Family Medicine
• Caitlyn Marie Syptak, MD
• Anna I Szajnert-Klein, LCAS, MA
• Gabriella Szatmary, MD
• Susan Anne Szendrey, OTR/L
• Elizabeth Salisbury Szumel, MD
• Grace Vandevelde Tabor, MD

• Diagnostic Radiology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.