DR. NATHAN TSEBOH CHOMILO M.D.
NPI 1063656593
Pediatrics in Brooklyn Center, MN

Q: What is Nathan Chomilo's NPI number?

The NPI number for Nathan Chomilo is 1063656593. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Nathan Chomilo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Chomilo was last updated on August 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2009PECOS Enrolled

6000 EARLE BROWN DR, PEDIATRICS, BROOKLYN CENTER, MN 55430(952) 993-4909 Get Directions Write a Review

NPPES record last updated: August 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Nathan Tseboh Chomilo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHAN TSEBOH CHOMILO M.D. (NPI 1063656593) is an individual pediatrics provider in Brooklyn Center, Minnesota, licensed in Minnesota (53869) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063656593

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. NATHAN TSEBOH CHOMILOCredential: M.D.

Location Address6000 EARLE BROWN DR, PEDIATRICSBrooklyn Center, MN 55430-2506

Mailing Address6000 Earle Brown Dr, PediatricsBrooklyn Center, MN 55430-2506 · (952) 993-4909

Phone(952) 993-4909

Sole ProprietorYes

Enumeration DateApril 28, 2009

Last NPPES UpdateAugust 6, 2016

✔ NPI 1063656593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 53869

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 53689 (MN)

6000 EARLE BROWN DR, Brooklyn Center, MN 55430

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Tseboh Chomilo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN H KAINTZ M.D.

Family Medicine