Thomas B Chaille, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS00004657 Issued in FL

Practice address

375 NE 54TH St
Suite #2
Miami, FL 33137-2967

Phone

(305) 757-8260

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275754459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 NE 54TH ST",
            "address_2": "SUITE #2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372967",
            "telephone_number": "305-757-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 NE 54TH ST",
            "address_2": "SUITE #2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372967",
            "telephone_number": "305-757-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAILLE",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS00004657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0699144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walid Bou Chacra, M.D.
• Bassem George Chahine, M.D.
• Omar Chahine
• Jada Chai
• Robert M Chaikin, MD
• Vinod Ashok Chainani, M.D.
• Ivan Chaitowitz, MD
• Nahida A Chakhtoura, MD
• Simon C Chakko, M.D.
• Elissa Andrea Chakoff, M.ED., ED.S.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.