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SHINTARO CHIBA M.D.
NPI 1912264763
Surgery in Loma Linda, CA

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment
11175 CAMPUS STREET, COLEMAN PAVILION 21111, LOMA LINDA, CA 92354(347) 446-4228 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2020, Sep 17, 2019, Jul 2, 2018 (3 updates tracked since 2018).

About Shintaro Chiba M.d. NPPES

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

SHINTARO CHIBA M.D. (NPI 1912264763) is an individual surgery provider in Loma Linda, California, licensed in Texas (S3504) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1912264763
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSHINTARO CHIBACredential: M.D.
Location Address11175 CAMPUS STREET, COLEMAN PAVILION 21111Loma Linda, CA 92354
Mailing Address2000 Trans Mountain Rd Ste BEl Paso, TX 79911-3602 · (915) 215-8000 · Fax (915) 215-8674
Phone(347) 446-4228
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 18, 2012
Last NPPES UpdateJune 1, 20203 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1912264763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · S3504✔ Licensed in CA · A153896
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
11175 CAMPUS STREET, Loma Linda, CA 92354
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Secondary Practice Location 1

Location 14802 10th Ave, Maimonides Medical CenterBrooklyn, NY 11219 · Phone (718) 283-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Highmark Blue Cross Blue Shield West Virginia 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

Shintaro Chiba 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 ID6204185069
PECOS Enrollment IDI20241217001821
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.

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 7

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

DR. ADRIAN P LAVERY M.D, MPH
Pediatrics (Neonatal-Perinatal Medicine)
11175 CAMPUS STREET, COLEMAN PAVILION SUITE 11121 DEPARTMENT OF NEONATOLOGY
LOMA LINDA, CA 92354
San Bernardino County (909) 651-5746
SHAINA KHAN LODHI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11175 CAMPUS STREET, COLEMAN PAVILION SUITE 11121
LOMA LINDA, CA 92354
San Bernardino County (909) 800-9901
DR. RICHARD TANG-WAI MDCM, FRCPC
Psychiatry & Neurology (Epilepsy)
11175 CAMPUS STREET, COLEMAN PAVILLION, RM A1120
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8242
NICOLE GALGOUL BITENCOURT MD
Internal Medicine (Rheumatology)
11175 CAMPUS STREET, COLEMAN PAVILION PEDIATRIC RHEUMATOLOGY
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4773
DR. BABU S BANGARU M.D.
Pediatrics (Pediatric Gastroenterology)
11175 CAMPUS STREET, COLEMAN PAVILION SUITE # A1120
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4773
MELINDA ESTHER SLOAN NP
Nurse Practitioner (Acute Care)
11175 CAMPUS STREET, SUITE 11120
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
BRYAN E TSAO MD
Psychiatry & Neurology (Neurology)
11175 CAMPUS STREET, CP 11108
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4907

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 Shintaro Chiba's NPI number?

The NPI number for Shintaro Chiba is 1912264763. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Shintaro Chiba located?

Shintaro Chiba practices at 11175 Campus Street Coleman Pavilion 21111, Loma Linda, CA 92354. The listed phone number is (347) 446-4228.

What is Shintaro Chiba's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shintaro Chiba enrolled in Medicare?

Yes. Shintaro Chiba 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 Shintaro Chiba accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Highmark Blue Cross Blue Shield West Virginia, Imperial Insurance Companies, Inc. and Molina Healthcare list Shintaro Chiba 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 Shintaro Chiba affiliated with any hospitals?

According to CMS data, Shintaro Chiba is affiliated with West Virginia University Hospitals, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Shintaro Chiba was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.