Active NPI
Chad E. McRae, MD
- General Practice Physician
- Orlando, FL
National Provider Identifier
1033160247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME87612
- Practice address
- 7758 Wallace Road,
Suite 6 Certified Pediatrics, in Assoc With Nemours,
Orlando, FL 32819-7217 - Phone
- (407) 351-0082
- Fax
- (407) 374-1637
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME87612 | FL | |
| General Practice Physician | 208D00000X | ME87612 | FL | Primary |
Addresses
Primary practice location
7758 Wallace Road,
Suite 6 Certified Pediatrics, in Assoc With Nemours,
Orlando, FL 32819-7217
Mailing address
PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (302) 651-4488
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267341000 | Medicaid | FL | |
| 3240346 | Other | FL | AETNA PROVIDER # |
| 71408 | Other | FL | BCBS PROVIDER # |
| 5688069 | Other | FL | CIGNA PROVIDER # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150217000366 | FL | Order and Referring Only - Pediatric Medicine | 6608191531 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health Alliance, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- cmcrae49500@direct.nemours.org
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1366709321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1033160247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-4488",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7758 WALLACE ROAD,",
"address_2": "SUITE 6 CERTIFIED PEDIATRICS, IN ASSOC WITH NEMOURS,",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197217",
"telephone_number": "407-351-0082",
"fax_number": "407-374-1637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "CHAD",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME87612",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME87612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267341000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "3240346",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "71408",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "5688069",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.