Active NPI
Andy Victor CHI, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3528
- Practice address
- 300 Riverside Dr E
Ste 1500
Bradenton, FL 34208-1008 - Phone
- (941) 741-3338
- Fax
- (941) 714-7484
- NPI assigned
- Jun 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3528 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | FL |
Addresses
Primary practice location
300 Riverside Dr E
Ste 1500
Bradenton, FL 34208-1008
Mailing address
700 8TH Ave W
Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130509000301 | FL | Practitioner - Podiatry | 3274770383 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCR Health Inc
Practice addresses (Care Compare)
12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231
2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611
206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111
Hospital & facility affiliations
- Manatee Memorial Hospital
- Lakewood Ranch Medical Center
- HCA Florida Blake Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 33 |
| Removal of nail tissue | 239 |
| Removal or shaving of skin growth | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Care of the Island Coast PA | Foot & Ankle Surgery | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Past | Accepting new patients |
Locations
1110 E Gibson St
Bldg A
Arcadia, FL 34266
Phone (863) 494-4433
300 Riverside Dr E
Ste 1500
Bradenton, FL 34208
Phone (941) 714-3338
6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101
13761 McGregor Blvd
Fort Myers, FL 33919
Phone (239) 482-7100
5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020
404 7th St W
Palmetto, FL 34221
Phone (941) 729-3856
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127
Interoperability endpoints
- andy.chi.1@11352.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
FL, Foot & Ankle Surgery
-
- Podiatrist
- Fort Myers, FL
- NPI 1750437166
Foot & Ankle Surgery
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1730115882
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1275844003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W",
"address_2": "STE 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214737",
"telephone_number": "941-776-4008",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RIVERSIDE DR E",
"address_2": "STE 1500",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081008",
"telephone_number": "941-741-3338",
"fax_number": "941-714-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "ANDY",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-26",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3528",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.