Individual provider Active NPI

Andy Victor CHI, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1275844003
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3528 Issued in FL
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

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 132 clinicians

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 Hospital, Bradenton, FL, CCN 100035
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue33
Removal of nail tissue239
Removal or shaving of skin growth97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Foot & Ankle Surgery CurrentSince Jul 13, 2015 Accepting new patients
Foot and Ankle Care of the Island Coast PA Foot & Ankle Surgery CurrentSince Apr 22, 2013 Accepting new patients
MCR Health, Inc. CurrentSince Jul 13, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.