Active NPI
Rafael A Cheas, MD
- Pediatrics Physician
- Leesburg, FL
National Provider Identifier
1013943489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME65356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376536900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME65356 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Lake Pediatrics, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.