Individual provider Active NPI

Chadwick Towne Rastatter, M.D.

  • Surgery Physician
  • Atlantis, FL
National Provider Identifier
1295016350
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME128084 Issued in FL
Practice address
5511 S Congress Ave Ste 105
Atlantis, FL 33462-1140
Phone
(561) 964-1632
Fax
(561) 964-1636
NPI assigned
Sep 2, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN16783 FL
Surgery Physician 208600000X ME128084 FL Primary

Addresses

Primary practice location

5511 S Congress Ave Ste 105
Atlantis, FL 33462-1140

Mailing address

5511 S Congress Ave Ste 105
Atlantis, FL 33462-1140
Phone (561) 964-1632

Other practice location 1

7800 SW 87th Ave
Suite B210
Miami, FL 33173-3570
Phone (305) 271-9777

Other identifiers 1

IdentifierTypeStateIssuer
021033400MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170826000193 FL Practitioner - General Surgery 8426320334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

5511 S Congress Ave
Suite 105
Atlantis, FL 33462-1140
Phone (561) 964-1634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)19
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue28
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN16783FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC Surgery CurrentSince Aug 7, 2017 Accepting new patients
Palm Beach General Surgery LLC Surgery Past Accepting new patients

Locations

5511 S Congress Ave
Ste 105
Lake Worth, FL 33462
Phone (561) 964-1632

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: chadwick.rastatter@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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 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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295016350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE STE 105",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-964-1632",
            "fax_number": "561-964-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE STE 105",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-964-1632",
            "fax_number": "561-964-1636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 SW 87th Ave",
            "address_2": "Suite B210",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733570",
            "country_code": "US",
            "telephone_number": "305-271-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTATTER",
        "first_name": "CHADWICK",
        "middle_name": "TOWNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN16783",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME128084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021033400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.