Individual provider Active NPI

Christian Alexander Chaban, M.D.

  • Pediatrics Physician
  • Apopka, FL
National Provider Identifier
1396163630
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME129304 Issued in FL
Practice address
425 S Hunt Club Blvd Ste 1051
Apopka, FL 32703-2428
Phone
(407) 786-4080
Fax
(407) 786-4667
NPI assigned
Apr 3, 2014
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME129304 FL Primary

Addresses

Primary practice location

425 S Hunt Club Blvd Ste 1051
Apopka, FL 32703-2428

Mailing address

1180 Sweetwater Club Blvd
Longwood, FL 32779-2211
Phone (407) 463-5848

Other practice location 1

508 Sweetwater Club Blvd
Longwood, FL 32779-2211
Phone (407) 463-5848

Other identifiers 1

IdentifierTypeStateIssuer
018470900MedicaidFL

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
I20210712000989 FL Practitioner - Pediatric Medicine 6103228325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Longwood, FL 32779
Phone (407) 463-5848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129304FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complex Care of Central Florida Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
Huntclub Pediatric Associates, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAADD

Organizations & group practices 3

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 4

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1396163630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SWEETWATER CLUB BLVD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792211",
            "telephone_number": "407-463-5848",
            "fax_number": "407-788-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD STE 1051",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327032428",
            "telephone_number": "407-786-4080",
            "fax_number": "407-786-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Sweetwater Club Blvd",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327792211",
            "country_code": "US",
            "telephone_number": "407-463-5848",
            "fax_number": "407-788-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHABAN",
        "first_name": "CHRISTIAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME129304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018470900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.