NPIMap

Individual provider Active NPI

Joseph Edward Castillo Chan, M.D.

  • Internal Medicine Physician
  • Venice, FL
National Provider Identifier
1235384017
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116702 Issued in FL
Practice address
8421 Pointe Loop Dr
Venice, FL 34293-2232
Phone
(941) 681-8500
Fax
(941) 681-8501
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116702 FL Primary

Addresses

Primary practice location

8421 Pointe Loop Dr
Venice, FL 34293-2232

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
009056200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000322 FL Practitioner - NephrologyPractitioner - Internal Medicine 0244471944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

8421 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 681-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116702FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince May 15, 2017 Accepting new patients
West Orange Nephrology LLC Nephrology CurrentSince Jul 1, 2013 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince May 15, 2017 Accepting new patients
Onyx Medical & Wellness Center LLC Nephrology PastSince Jan 1, 2025 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

2572 Commerce Pkwy
North Port, FL 34289
Phone (941) 429-3545

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

333 Miami Ave W
Venice, FL 34285
Phone (941) 484-4778

8421 Pointe Loop Dr
Venice, FL 34293
Phone (941) 412-2100

1287 US Highway 41 Byp S
Venice, FL 34285
Phone (941) 202-0500

301 S West Crown Point Rd
Ste 120
Winter Garden, FL 34787

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFJCA
  • Direct secure messaging: joseph.chan.1@4290.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1235384017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 POINTE LOOP DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932232",
            "telephone_number": "941-681-8500",
            "fax_number": "941-681-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOSEPH EDWARD",
        "middle_name": "CASTILLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009056200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.