Individual provider Active NPI

Diran Joseph Chamoun, MD

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1396729992
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME71374 Issued in FL
Practice address
3160 Alzante Cir
Melbourne, FL 32940-7330
Phone
(321) 751-4673
Fax
(321) 751-4567
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME71374 FL Primary

Addresses

Primary practice location

3160 Alzante Cir
Melbourne, FL 32940-7330

Mailing address

3160 Alzante Cir
Melbourne, FL 32940-7330
Phone (321) 751-4673

Other identifiers 1

IdentifierTypeStateIssuer
31617OtherFLBLUE CROSS BLUE SHIELD

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
I20151217001988 FL Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 8921309899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71374FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diran Chamoun M.D., P.a. Obstetrics & Gynecology Past Accepting new patients
Brevard Physician Associates, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dchamoun69158@epicdirect.hf.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1396729992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 ALZANTE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407330",
            "telephone_number": "321-751-4673",
            "fax_number": "321-751-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 ALZANTE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407330",
            "telephone_number": "321-751-4673",
            "fax_number": "321-751-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOUN",
        "first_name": "DIRAN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME71374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31617",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.