Individual provider Active NPI

Lance Ivan Chodosh, M.D.

  • Occupational Medicine Physician
  • Gainesville, FL
National Provider Identifier
1174593933
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME0021240 Issued in FL
Practice address
4340 W Newberry Rd
#201
Gainesville, FL 32607-2586
Phone
(352) 372-3360
Fax
(352) 372-3776
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X ME0021240 FL Primary

Addresses

Primary practice location

4340 W Newberry Rd
#201
Gainesville, FL 32607-2586

Mailing address

4340 W Newberry Rd
#201
Gainesville, FL 32607-2586
Phone (352) 372-3360

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
I20100913001119 FL Practitioner - Family Practice 5395860407 Practice locations: Gainesville, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0021240FLMDOccupational Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lance.chodosh.1@15445.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174593933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "#201",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072586",
            "telephone_number": "352-372-3360",
            "fax_number": "352-372-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "#201",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072586",
            "telephone_number": "352-372-3360",
            "fax_number": "352-372-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODOSH",
        "first_name": "LANCE",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME0021240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.