ATTIYYA CHISOLM MD
NPI 1407650229
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 02, 2025PECOS Enrolled
1010 SW 2ND AVE UNIT 902, MIAMI, FL 33130(301) 974-1931 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Attiyya Chisolm Md NPPES

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

ATTIYYA CHISOLM MD (NPI 1407650229) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407650229
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameATTIYYA CHISOLMCredential: MD
Location Address1010 SW 2ND AVE UNIT 902Miami, FL 33130-4456
Mailing Address1010 Sw 2nd Ave Unit 902Miami, FL 33130-4456
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
NPI 1407650229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1010 SW 2ND AVE UNIT 902, Miami, FL 33130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Attiyya Chisolm Md 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.

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 Attiyya Chisolm's NPI number?

The NPI number for Attiyya Chisolm is 1407650229. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Attiyya Chisolm located?

Attiyya Chisolm practices at 1010 SW 2nd Ave Unit 902, Miami, FL 33130. The listed phone number is (301) 974-1931.

What is Attiyya Chisolm's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Attiyya Chisolm enrolled in Medicare?

Yes. Attiyya Chisolm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Attiyya Chisolm was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.