Individual provider Active NPI

Simon C Chakko, M.D.

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1316998081
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME55081 Issued in FL
Practice address
1201 NW 16TH St
V.a.Medical Center- 111a
Miami, FL 33125-1624
Phone
(305) 575-3182
Fax
(305) 575-3116
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME55081 FL Primary

Addresses

Primary practice location

1201 NW 16TH St
V.a.Medical Center- 111a
Miami, FL 33125-1624

Mailing address

1201, NW 16 St
V.a.Medical Center-111a
Miami, FL 33125-1624
Phone (305) 575-3182

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1201 NW 16th St
#111A
Miami, FL 33125
Phone (305) 575-3182

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1475 NW 12th Ave
Ste 4011
Miami, FL 33136
Phone (305) 243-7243

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1201 NW 16th St
Fl 10
Miami, FL 33125
Phone (305) 575-3182

7000 W 12th Ave
Ste 4
Miami Gardens, FL 33014
Phone (305) 243-7070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1316998081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201, NW 16 ST",
            "address_2": "V.A.MEDICAL CENTER-111A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "305-575-3182",
            "fax_number": "305-575-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 16TH ST",
            "address_2": "V.A.MEDICAL CENTER- 111A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "305-575-3182",
            "fax_number": "305-575-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKKO",
        "first_name": "SIMON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME55081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.