Individual provider Active NPI

Cesar Raymond Chavez Quililan, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1033118161
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80289 Issued in FL
Practice address
6150 Metrowest Blvd Ste 307
Orlando, FL 32835-3291
Phone
(407) 294-1014
Fax
(407) 294-7732
NPI assigned
Jul 20, 2005
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 ME80289 FL Primary

Addresses

Primary practice location

6150 Metrowest Blvd Ste 307
Orlando, FL 32835-3291

Mailing address

6150 Metrowest Blvd Ste 307
Orlando, FL 32835-3291
Phone (407) 294-1014

Other practice location 1

1106 Lucerne Ter
Orlando, FL 32806-1017
Phone (407) 316-8898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000615 FL Practitioner - Internal Medicine 5597891168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Health IncGroup PAC ID 2365406840, 11 clinicians

Practice addresses (Care Compare)

6150 Metrowest Blvd
Suite 307
Orlando, FL 32835-3291
Phone (407) 294-1014

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Health, Inc. Internal Medicine CurrentSince Sep 8, 2014 Accepting new patients

Locations

1106 Lucerne Ter
Orlando, FL 32806
Phone (407) 316-8898

6150 Metrowest Blvd
Ste 307
Orlando, FL 32835
Phone (407) 294-1014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1033118161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353291",
            "telephone_number": "407-294-1014",
            "fax_number": "407-294-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353291",
            "telephone_number": "407-294-1014",
            "fax_number": "407-294-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Lucerne Ter",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061017",
            "country_code": "US",
            "telephone_number": "407-316-8898",
            "fax_number": "407-540-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUILILAN",
        "first_name": "CESAR",
        "middle_name": "RAYMOND CHAVEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.