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CHAO HE
NPI 1235557265
Internal Medicine - Critical Care Medicine in Birmingham, AL

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Oct 25, 2022, Feb 18, 2020 and 1 more (4 updates tracked since 2019).

About Chao He NPPES

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

CHAO HE (NPI 1235557265) is an individual critical care medicine provider in Birmingham, Alabama, licensed in Texas (U6968) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235557265
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameCHAO HE
Location Address1717 6TH AVE SBirmingham, AL 35233-1801
Mailing Address1717 6th Ave SBirmingham, AL 35233-1801
Phone(800) 822-8816
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 7, 2014
Last NPPES UpdateOctober 4, 20234 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1235557265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in TX · U6968✔ Licensed in AL · 36172
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License U6968 (TX)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License U6968 (TX)
1717 6TH AVE S, Birmingham, AL 35233
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11900 University BlvdBirmingham, AL 35233-2060 · Phone (205) 996-5864
Location 27200 Cambridge StHouston, TX 77030-4202 · Phone (713) 798-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chao He is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496076069
PECOS Enrollment IDI20231019002394
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
165 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Ad Hospital East, LLC

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670102
Location12950 East Freeway, Suite 100Houston, TX 77015 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers44 claims44 services$16.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers60 claims60 services$86.24 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$32.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MELANIE MORRIS
Surgery
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JESSICA CHA
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JAMES WALKER
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
TONYA RICHARDS
Nurse Practitioner (Family)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
JOSEPH SMITH
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
STACY WADE
Anesthesiology
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816
MRS. CHERYL ANDERSON LANE NP-BC
Nurse Practitioner (Adult Health)
1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2747
TARAH WOODFIN
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (800) 822-8816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chao He's NPI number?

The NPI number for Chao He is 1235557265. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Chao He located?

Chao He practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Chao He's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Chao He enrolled in Medicare?

Yes. Chao He is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chao He accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and Community Health Choice and 1 other insurer list Chao He as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chao He affiliated with any hospitals?

According to CMS data, Chao He is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Ad Hospital East, LLC.

When was this NPI record last updated?

The NPPES record for Chao He was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.