Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EARL BYRD CHISM
NPI 1811630031
Pediatrics - Pediatric Critical Care Medicine in San Francisco, CA

Q: What is Earl Chism's NPI number?

The NPI number for Earl Chism is 1811630031. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Earl Chism's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Earl Chism was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since April 15, 2022PECOS Enrolled

550 16TH STREET, 4TH FLOOR, SAN FRANCISCO, CA 94143(415) 476-5001 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Mar 28, 2023, Apr 15, 2022 (3 updates tracked since 2022).

On this page

About Earl Byrd Chism NPPES

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

EARL BYRD CHISM (NPI 1811630031) is an individual pediatric critical care medicine provider in San Francisco, California, licensed in California (A208489) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2023).

NPPES Registry Identity

NPI1811630031

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameEARL BYRD CHISM

Location Address550 16TH STREET, 4TH FLOORSan Francisco, CA 94143-0110

Mailing Address550 16th Street, 4th FloorSan Francisco, CA 94143-0110 · (415) 476-5001

Phone(415) 476-5001

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2023

Enumeration DateApril 15, 2022

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1811630031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A208489

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License A208489 (CA)

550 16TH STREET, San Francisco, CA 94143

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earl Byrd Chism is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951742451

PECOS Enrollment IDI20260710003670

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.

Other Providers at the Same Location NPPES 11

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

BEN CHUNG LI MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

550 16TH STREET, UCSF WOMENS HEALTH
SAN FRANCISCO, CA 94143

San Francisco County (214) 590-8058

MARINA MARIA MAI

Student in an Organized Health Care Education/Training Program

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-5001

MICHELLE ARIANA WEDEMEYER MD, PHD

Neurological Surgery

550 16TH STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-3581

STEPHANIE TSOI MD

Student in an Organized Health Care Education/Training Program

550 16TH STREET, 4TH FLOOR, 4551, #0110
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-6245

MANALI DEVANG GHADIALI MD

Student in an Organized Health Care Education/Training Program

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-5001

CHERYL HAWKINS

Pediatrics

550 16TH STREET, MISSION HALL, 4TH FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-5001

SAMUEL JOSHUA BRUNWASSER MD,PHD

Student in an Organized Health Care Education/Training Program

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-5001

CASSIDY MAN TRAN

Student in an Organized Health Care Education/Training Program

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 476-5001

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 Earl Chism's NPI number?

The NPI number for Earl Chism is 1811630031. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Earl Chism located?

Earl Chism practices at 550 16th Street 4th Floor, San Francisco, CA 94143. The listed phone number is (415) 476-5001.

What is Earl Chism's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Earl Chism enrolled in Medicare?

Yes. Earl Chism is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Earl Chism was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.