NPIMap

Individual provider Active NPI

Jorge M Chaves, M.D.

  • Hematology & Oncology Physician
  • Tacoma, WA
National Provider Identifier
1265610752
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD60199121 Issued in WA
Practice address
1624 South I Street
Suite 102
Tacoma, WA 98405-5093
Phone
(253) 383-3366
Fax
(253) 383-3376
NPI assigned
Feb 6, 2008
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD60199121 WA Primary

Addresses

Primary practice location

1624 South I Street
Suite 102
Tacoma, WA 98405-5093

Mailing address

1708 S Yakima Ave Suite 120
St Joseph Medical Clinic - Tacoma
Tacoma, WA 98405-4889
Phone (360) 923-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20111011000671 WA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 5092987230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1624 S I St
Suite 305
Tacoma, WA 98405-5093
Phone (253) 428-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 3, 2012 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Northwest Medical Specialties PLLC CurrentSince Sep 1, 2011 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 3, 2012 Accepting new patients
Northwest Medical Specialties Pharmacy Past Accepting new patients

Locations

11511 Canterwood Blvd
Ste 45
Gig Harbor, WA 98332
Phone (253) 426-4772

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405
Phone (253) 383-3376

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1265610752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S YAKIMA AVE SUITE 120",
            "address_2": "ST JOSEPH MEDICAL CLINIC - TACOMA",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054889",
            "telephone_number": "360-923-7181",
            "fax_number": "253-596-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SOUTH I STREET",
            "address_2": "SUITE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055093",
            "telephone_number": "253-383-3366",
            "fax_number": "253-383-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "JORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60199121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.