Active NPI
Carlos Chaban, MD
- Pediatrics Physician
- Apopka, FL
National Provider Identifier
1114078698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME68094
- Practice address
- 425 S Hunt Club Blvd Ste 1051
Apopka, FL 32703-2428 - Phone
- (407) 786-4080
- Fax
- (407) 786-4667
- NPI assigned
- Jan 13, 2007
- 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 | ME68094 | FL | Primary |
Addresses
Primary practice location
425 S Hunt Club Blvd Ste 1051
Apopka, FL 32703-2428
Mailing address
425 S Hunt Club Blvd
Apopka, FL 32703-4947
Phone (407) 786-4080
Other practice location 1
737 Stirling Center Pl
Lake Mary, FL 32746-5715
Phone (407) 878-6008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263339600 | 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 |
|---|---|---|---|
| ME68094 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunt Club Durable Medical Equipment LLC | Current | Accepting new patients | |
| Huntclub Pediatric Associates, LLC | Pediatrics | Past | Accepting new patients |
Locations
425 S Hunt Club Blvd
Ste 1051
Apopka, FL 32703
Phone (407) 663-7566
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHAADD
Organizations & group practices 2
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.
-
- Oxygen Equipment & Supplies (DME)
- Apopka, FL
- NPI 1881441848
-
- Pediatrics Physician
- Apopka, FL
- NPI 1063568855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1114078698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S HUNT CLUB BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034947",
"telephone_number": "407-786-4080",
"fax_number": "407-786-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S HUNT CLUB BLVD STE 1051",
"city": "APOPKA",
"state": "FL",
"postal_code": "327032428",
"telephone_number": "407-786-4080",
"fax_number": "407-786-4667"
}
],
"practiceLocations": [
{
"address_1": "737 Stirling Center Pl",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327465715",
"country_code": "US",
"telephone_number": "407-878-6008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHABAN",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME68094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263339600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.