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DR. SUNGWAI CHIU M.D.
NPI 1255418117
Internal Medicine - Cardiovascular Disease in Flushing, NY

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
13621 ROOSEVELT AVE STE 406, FLUSHING, NY 11354(718) 888-1656(718) 886-2336 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2021, Mar 16, 2021 (2 updates tracked since 2021).

About Dr. Sungwai Chiu M.d. NPPES

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

DR. SUNGWAI CHIU M.D. (NPI 1255418117) is an individual cardiovascular disease provider in Flushing, New York, licensed in New York (201269) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1994).

NPPES Registry Identity

NPI1255418117
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUNGWAI CHIUCredential: M.D.
Location Address13621 ROOSEVELT AVE STE 406Flushing, NY 11354-5507
Mailing Address13621 Roosevelt Ave Ste 406Flushing, NY 11354-5507 · (718) 888-1656 · Fax (718) 886-2336
Phone(718) 888-1656
Fax(718) 886-2336
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1994
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1255418117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 201269
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
13621 ROOSEVELT AVE STE 406, Flushing, NY 11354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sungwai Chiu M.d. 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 ID1557252202
PECOS Enrollment IDI20040322001968
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.

Medicare Billing Reassignment

Medicare enrollment records show Sungwai Chiu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roosevelt Cardiology PC
0.2 mi
Medical Specialty
3660 MAIN ST, SUITE 2S
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1891872610 (718) 888-1656

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) J0153
An adenosine injection is a quick-acting medication used to manage irregular heart rhythms. It works by slowing down the electrical activity in your heart, allowing it to return to its regular rhythm. This procedure is safe and typically performed under medical supervision.
415 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
168 services106 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
101 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
92 services83 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
89 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
61%3,618 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%3,666 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%173 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%2,544 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%1,605 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%1,606 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 827 patients
0%827 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

CHIU CARDIOLOGY PLLC
Internal Medicine (Cardiovascular Disease)
13621 ROOSEVELT AVE STE 406
FLUSHING, NY 11354
Queens County (718) 888-1656
DR. SUNGKIN CHIU M.D.
Internal Medicine (Cardiovascular Disease)
13621 ROOSEVELT AVE STE 406
FLUSHING, NY 11354
Queens County (718) 888-1656

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 Sungwai Chiu's NPI number?

The NPI number for Sungwai Chiu is 1255418117. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Sungwai Chiu located?

Sungwai Chiu practices at 13621 Roosevelt Ave Ste 406, Flushing, NY 11354. The listed phone number is (718) 888-1656.

What is Sungwai Chiu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sungwai Chiu enrolled in Medicare?

Yes. Sungwai Chiu 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.

Which organization bills Medicare for Sungwai Chiu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sungwai Chiu reassigns Medicare benefits to Roosevelt Cardiology PC (Flushing, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sungwai Chiu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sungwai Chiu was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.