Active NPI
Rody Georges Bou Chaaya, MD
- Interventional Cardiology Physician
- Port Orange, FL
National Provider Identifier
1164085999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME183118
- Practice address
- 840 Dunlawton Ave Ste a
Port Orange, FL 32127-4224 - Phone
- (386) 304-9672
- Fax
- (386) 304-9673
- NPI assigned
- Apr 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | U4471 | TX | |
| Interventional Cardiology Physician | 207RI0011X | ME183118 | FL | Primary |
Addresses
Primary practice location
840 Dunlawton Ave Ste a
Port Orange, FL 32127-4224
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U4471 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Hospitalist | Current | Accepting new patients |
| Methodist Radiology Associates, PLLC | Past | Accepting new patients |
Locations
4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- rbouchaaya961001@direct.vumc.org
- rbouchaaya411550@directhoustonmethodist.org
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1427235704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1164085999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W GRANADA BLVD STE 101",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 DUNLAWTON AVE STE A",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274224",
"telephone_number": "386-304-9672",
"fax_number": "386-304-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOU CHAAYA",
"first_name": "RODY",
"middle_name": "GEORGES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "U4471",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME183118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.