Individual provider Active NPI

Jose Alberto CHI, M.D

  • Family Medicine Physician
  • Sweetwater, FL
National Provider Identifier
1205274164
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME144676 Issued in FL
Practice address
2100 NW 107TH Ave Ste 108
Sweetwater, FL 33172-2506
Phone
(786) 625-7100
NPI assigned
Jun 12, 2013
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q6404 TX
Family Medicine Physician 207Q00000X ME144676 FL Primary

Addresses

Primary practice location

2100 NW 107TH Ave Ste 108
Sweetwater, FL 33172-2506

Mailing address

3601 4TH St Stop 8143
Lubbock, TX 79430-8143
Phone (806) 743-2757

Other names 1

  • Jose CHI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160813000006 TX Practitioner - Family Practice 9638477037 Reassigns benefits to 1 organization
I20210809003699 FL Practitioner - Family Practice 9638477037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Hospitalists IncGroup PAC ID 9436157831, 179 clinicians
Collins Physician Services, LLCGroup PAC ID 9234476920, 48 clinicians

Practice addresses (Care Compare)

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 481-9776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144676FLMDFamily Medicine Physician
Q6404TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC CurrentSince May 12, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Aug 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Med Care Centers LLC Current Accepting new patients
Eastside Hospitalists Inc CurrentSince Dec 1, 2024 Accepting new patients
Collins Physician Services, LLC CurrentSince Jul 12, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Medcare Centers, LLC CurrentSince May 7, 2024 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Medcare Centers, LLC CurrentSince May 7, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince May 12, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 447-4582

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1190 NW 95th St
Ste 105
Miami, FL 33150
Phone (305) 615-2637

13550 SW 88th St
Ste 280
Miami, FL 33186
Phone (305) 753-7350

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

9894 SW 40th St
Miami, FL 33165
Phone (305) 564-9471

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

9526 NE 2nd Ave
Ste 101
Miami Shores, FL 33138
Phone (305) 694-3775

1400 NE Miami Gardens Dr
Ste 105
North Miami Beach, FL 33179
Phone (305) 974-5933

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

5730 SW 74th St
Ste 200
South Miami, FL 33143

2100 NW 107th Ave
Ste 108
Sweetwater, FL 33172
Phone (786) 625-7100

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3601 4th St
Stop 8143
Lubbock, TX 79430
Phone (806) 743-2757

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • Direct secure messaging: jose.chi@direct.myteamcare.com

Organizations & group practices 14

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.

View all 14

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1205274164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 8143",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794308143",
            "telephone_number": "806-743-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW 107TH AVE STE 108",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722506",
            "telephone_number": "786-625-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6404",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME144676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "CHI",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sweetwater, FL

Sources for this page

Verify at the official NPI Registry.