Individual provider Active NPI

Rafael A Cheas, MD

  • Pediatrics Physician
  • Leesburg, FL
National Provider Identifier
1013943489
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME65356 Issued in FL
Practice address
33017 Professional Dr
Leesburg, FL 34788-3750
Phone
(352) 314-2275
Fax
(352) 314-2279
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME65356 FL Primary

Addresses

Primary practice location

33017 Professional Dr
Leesburg, FL 34788-3750

Mailing address

33017 Professional Dr
Leesburg, FL 34788-3750
Phone (352) 516-3365

Other identifiers 1

IdentifierTypeStateIssuer
376536900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65356FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lake Pediatrics, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcheas562502@direct.shands.ufl.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1013943489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33017 PROFESSIONAL DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883750",
            "telephone_number": "352-516-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33017 PROFESSIONAL DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883750",
            "telephone_number": "352-314-2275",
            "fax_number": "352-314-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEAS",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376536900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.