NPIMap

Individual provider Active NPI

Vernon Barros Chavez, MD

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1023101052
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33459 Issued in AZ
Practice address
1210 W 24TH St
Suite 2
Yuma, AZ 85364-6226
Phone
(928) 726-2500
Fax
(928) 726-7853
NPI assigned
Oct 2, 2006
Last updated
May 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33459 AZ Primary

Addresses

Primary practice location

1210 W 24TH St
Suite 2
Yuma, AZ 85364-6226

Mailing address

1210 W 24TH St
Ste 2
Yuma, AZ 85364-6227
Phone (928) 276-3084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000402 AZ Practitioner - Internal Medicine 0648165449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vernon B Chavez MD PLLCGroup PAC ID 1759276553, 2 clinicians

Practice addresses (Care Compare)

1210 W 24TH St
Suite 2
Yuma, AZ 85364-6227
Phone (928) 726-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.87 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
15.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33459AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon B Chavez MD PLLC Internal Medicine CurrentSince Oct 21, 2002 Accepting new patients
Altea Medical Clinic PLLC CurrentSince Aug 3, 2014 Accepting new patients
Yuma Rehabilitation Hospital, L.L.C. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

1210 W 24th St
Ste 2
Yuma, AZ 85364
Phone (928) 344-9490

1965 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 344-5774

901 W 24th St
Yuma, AZ 85364
Phone (928) 314-8812

411 W Broadway St
Mt Pleasant, MI 48858
Phone (989) 225-8983

411 W Broadway St
Ste A
Mt Pleasant, MI 48858
Phone (989) 772-7600

3061 Christy Way
Saginaw, MI 48603
Phone (630) 788-1425

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDHCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDHCA/Endpoint/EHDHCA

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1023101052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W 24TH ST",
            "address_2": "STE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646227",
            "telephone_number": "928-276-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 24TH ST",
            "address_2": "SUITE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646226",
            "telephone_number": "928-726-2500",
            "fax_number": "928-726-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "VERNON",
        "middle_name": "BARROS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.