NPIMap

Individual provider Active NPI

Abraham Chamely, MD

  • Neurology Physician
  • Tamarac, FL
National Provider Identifier
1407806060
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME58844 Issued in FL
Practice address
7225 N University Dr
Ste 102
Tamarac, FL 33321-2908
Phone
(954) 718-9777
Fax
(954) 718-0233
NPI assigned
May 12, 2006
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME58844 FL Primary

Addresses

Primary practice location

7225 N University Dr
Ste 102
Tamarac, FL 33321-2908

Mailing address

6245 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308-1998
Phone (954) 956-1966

Other identifiers 1

IdentifierTypeStateIssuer
057115600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000497 FL Practitioner - Neurology 2567488265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770

7595 SW 33Rd St
FL 4
Davie, FL 33314-7708
Phone (954) 262-4343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58844FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Dec 6, 2017 Accepting new patients
Holy Cross Hospital Inc CurrentSince Dec 6, 2017 Accepting new patients
Holy Cross Primary Care, Inc CurrentSince Mar 1, 2018 Accepting new patients
North Broward Hospital District Past Accepting new patients
Sunrise Medical Group I, LLC Neurology PastSince Aug 23, 2020 Accepting new patients
Sunrise Medical Group Inc Neurology Past Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
Ofc
Ft Lauderdale, FL 33308
Phone (954) 267-6770

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

7421 N University Dr
Ste 212
Tamarac, FL 33321
Phone (954) 721-9494

Interoperability endpoints

  • Direct secure messaging: achamely2023624@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4

Organizations & group practices 7

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1407806060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY",
            "address_2": "STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "954-956-1966",
            "fax_number": "954-745-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "STE 102",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212908",
            "telephone_number": "954-718-9777",
            "fax_number": "954-718-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMELY",
        "first_name": "ABRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME58844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057115600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.