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Deactivated NPI 1396756219 Deactivated / Inactive NPI Female Practitioner

Dr. Charlene Zhiyi Chao , MD

Surgery • Brooklyn, NY

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charlene Chao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2006
NPI Deactivation Date August 22, 2006
Total Practice Duration ~5 Years of Practice (2001 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Charlene Chao, MD was a registered Surgery in Brooklyn, NY. Prior to record deactivation on 2006-08-22, Dr. Chao completed approximately 5 years of clinical practice following graduation from State University Of New York Downstate Medical Center in 2001.

Dr. Chao was affiliated with Maimonides Medical Center General Surgery Fpp and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

802 64th Street
Ste 2f

Brooklyn, NY 112205573

Telephone 7188332699
Fax 7188332667
Associated Practice Facility / Clinic
🏢 Charlene Chao, Md, Pllc Facility NPI 1275873085

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brooklyn, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs -1.7 yrs vs City Avg
City Avg: 26.7 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
216 Specialists

Practicing in Brooklyn, NY (2269 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chao (25 Years) 25 Yrs
Brooklyn Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 11 $256.00 $103.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $276.00 $128.16

Medical Specialties & State Licenses

CMS Verified: 2024-12-19
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 243672

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1396756219 (NY)
Medicaid State Provider ID
03128498 (NY)

Hospital & Practice Group Affiliations

Maimonides Medical Center General Surgery Fpp

4802 10th Ave, Brooklyn, NY 112192916

Phone: 7182836897

Maimonides Medical Center General Surgery Fpp

948 48th St, Brooklyn, NY 112192918

Phone: 7182837952

Maimonides Medical Center General Surgery Fpp

2525 Kings Hwy, Brooklyn, NY 112291705

Phone: 7186925300

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 23, 2024

Registered at 802 64TH STREET, STE 2F, BROOKLYN, NY 112205573 (Tel: 7188332699)

📍
Updated Business Mailing Address December 23, 2024

Registered at 802 64TH STREET, STE 2F, BROOKLYN, NY 112205573 (Tel: 7188332699)

📍
Updated Business Mailing Address May 26, 2022

Registered at PO BOX 6054, SPRING HILL, FL 346116054 (Tel: 9176334934)

📍
Updated Practice Location July 26, 2021

Registered at 802 64TH ST # 2F, BROOKLYN, NY 112204730 (Tel: 7188332699)

📍
Updated Business Mailing Address July 26, 2021

Registered at 802 64TH ST # 2F, BROOKLYN, NY 112204730 (Tel: 7188332699)

📍
Updated Practice Location June 27, 2013

Registered at 506 6TH ST, BROOKLYN, NY 112153609 (Tel: 7187803288)

📍
Updated Business Mailing Address June 27, 2013

Registered at 506 6TH ST, BROOKLYN, NY 112153609 (Tel: 7187803288)

👤
Provider Name / Credentials Updated June 27, 2013

Recorded as CHARLENE CHAO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2013

Surgery (License #243672 in MA)

🔄
NPI Profile Reactivated August 24, 2006

Record officially reactivated for active practice on August 24, 2006

⚠️
NPI Profile Deactivated August 22, 2006

Record deactivated on August 22, 2006

🟢
Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396756219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: December 23, 2024
Deactivation Date: August 22, 2006
Sole Proprietor: Yes

Mailing Address

802 64th Street, Ste 2f

Brooklyn, NY 112205573

Phone: 7188332699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.