Active NPI
Jason Victor Chavez, MD
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1083294409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0097055
- Practice address
- 1400 NW 12TH Ave
Miami, FL 33136-1003 - Phone
- (305) 325-5511
- NPI assigned
- Apr 9, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | D0097055 | MD | Primary |
Addresses
Primary practice location
1400 NW 12TH Ave
Miami, FL 33136-1003
Mailing address
804 Whittington Ter
Silver Spring, MD 20901-1056
Phone (301) 580-7686
Other practice location 1
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400
Other practice location 2
655 Watkins Mill Rd
Gaithersburg, MD 20879-3301
Phone (240) 813-8740
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1083294409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 WHITTINGTON TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011056",
"telephone_number": "301-580-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "305-325-5511"
}
],
"practiceLocations": [
{
"address_1": "100 E Carroll St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218015422",
"country_code": "US",
"telephone_number": "410-546-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Watkins Mill Rd",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208793301",
"country_code": "US",
"telephone_number": "240-813-8740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "JASON",
"middle_name": "VICTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0097055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.