Active NPI
Eleni Chalvadakis, PA-C
- Physician Assistant
- Venice, FL
National Provider Identifier
1396049078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105632
- Practice address
- 1360 E Venice Ave
Venice, FL 34285-9066 - Phone
- (941) 488-2020
- Fax
- (941) 484-2200
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105632 | FL | Primary |
Addresses
Primary practice location
1360 E Venice Ave
Venice, FL 34285-9066
Mailing address
1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9105632 | Other | FL | STATE LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | echalvadakis@useye.intellechartdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.19 of 100
- Quality
- 93.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105632 | FL | MD | Physician Assistant |
Interoperability endpoints
- echalvadakis@useye.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1396049078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342859066",
"telephone_number": "941-488-2020",
"fax_number": "941-484-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342859066",
"telephone_number": "941-488-2020",
"fax_number": "941-484-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALVADAKIS",
"first_name": "ELENI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "PA9105632",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "echalvadakis@useye.intellechartdirect.net",
"affiliation": "N",
"address_1": "1360 E Venice Ave",
"city": "Venice",
"state": "FL",
"country_code": "US",
"postal_code": "342859066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.