Katiusca Chavez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 102747 Issued in FL

Practice address

1636 N Central Ave
Suite 100
Sebastian, FL 32958-3808

Phone

(321) 745-5976

NPI assigned

Sep 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chavez Jo Internal Medicine P.a. 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
• Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FFDHAD/Endpoint/FFDHAD

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.

• Chavez Jo Internal Medicine P.a.

  • Internal Medicine Physician
  • Sebastian, FL
  • NPI 1922257096

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Riverside Surgical and Weight Loss Center,LLC

  • Surgery Physician
  • Sebastian, FL
  • NPI 1437397544
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ajl Nursing Services, LLC

  • Home Health Agency
  • Melbourne, FL
  • NPI 1184183022
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988

  Hospital

  Care Compare affiliation
• Ohsrh, LLC

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307

  Hospital

  Care Compare affiliation
• Visiting Nurse Association of Indian River County, Inc.

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1306843768
  Care Compare affiliation

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1235388307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 PEACOCK DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329049516",
            "telephone_number": "321-327-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 N CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583808",
            "telephone_number": "321-745-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KATIUSCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 102747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Family Pharmacy
• Kerlyne Charles-Jeune, PMHNP-BC
• Patti Charles, PHARMD
• Chavez Jo Internal Medicine P.a.
• Edgard Chavez, M.D.
• Catherine Anne Cheries, PA
• David L. Christensen, CRNA
• Betty C Chukwuma, DNP
• Clark Chiropractic and Wellness PLLC
• Joshua Clark, D.C

• All providers in Sebastian, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.