CHAS PHYSICIAN SERVICES LLC – Cardiovascular Disease Physician, NPI 1629301163
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHAS PHYSICIAN SERVICES LLC
1605 E BROADWAY
COLUMBIA, MO 652018023
Phone: (573) 256-7700
Fax: (573) 256-3003
Type: Location
Boone Hospital Center, 1600, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652015844
Phone: (573) 815-8000
Type: Mailing
1605 E BROADWAY STE 300
COLUMBIA, MO 652018023
Phone: (573) 256-7700
Fax: (573) 256-3003
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65201)
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