Individual provider Active NPI

Arul B Chidambaram, MD

  • Vascular Surgery Physician
  • Loxahatchee, FL
National Provider Identifier
1154316727
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME79993 Issued in FL
Practice address
12955 Palms West Dr Ste 101
Loxahatchee, FL 33470-9212
Phone
(561) 798-1515
Fax
(561) 798-9282
NPI assigned
Sep 20, 2005
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME79993 FL
Vascular Surgery Physician 2086S0129X ME79993 FL Primary

Addresses

Primary practice location

12955 Palms West Dr Ste 101
Loxahatchee, FL 33470-9212

Mailing address

6415 Lake Worth Rd Ste 102
Greenacres, FL 33463-3009
Phone (561) 331-0808

Other practice location 1

130 JFK Dr Ste 134
Atlantis, FL 33462-1133
Phone (561) 964-2211

Other practice location 2

120 JFK Dr Ste 120
Atlantis, FL 33462-6623
Phone (561) 964-2211

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
I20100621000596 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 7719018613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

12989 Southern Blvd
Suite 104
Loxahatchee, FL 33470-9205
Phone (561) 227-7660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79993FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC CurrentSince Nov 14, 2022 Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Locations

5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900

12989 Southern Blvd
Ste 104
Loxahatchee, FL 33470
Phone (561) 448-2080

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: arul.chidambaram@hca4.eclinicaldirectplus.com

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

Hospital & facility affiliations 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1154316727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 102",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633009",
            "telephone_number": "561-331-0808",
            "fax_number": "561-798-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 101",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709212",
            "telephone_number": "561-798-1515",
            "fax_number": "561-798-9282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 JFK Dr Ste 134",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621133",
            "country_code": "US",
            "telephone_number": "561-964-2211",
            "fax_number": "561-649-3378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 JFK Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334626623",
            "country_code": "US",
            "telephone_number": "561-964-2211",
            "fax_number": "561-649-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIDAMBARAM",
        "first_name": "ARUL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME79993",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME79993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.