Phillip Chapa, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K9750 Issued in TX

Practice address

609 Medical Center Dr
Decatur, TX 76234-3836

Phone

(940) 626-1249

NPI assigned

May 2, 2006

Last updated

Mar 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

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• Pearsall Emergency Medicine Associates, PA

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  NPD (past) Authorized official
• Southeast Texas Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Beaumont, TX
  • NPI 1801579867
  NPD (past) Authorized official
• Sunset Heights Physician Services PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1215818737
  NPD (past) Authorized official
• Webb Emergency Medicine Associates PA

  • Emergency Medicine Physician
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  • NPI 1770543555
  NPD (past) Authorized official

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1487612362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COCO PLUM DR APT 401",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330504028",
            "telephone_number": "940-704-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-626-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Overseas Hwy",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "330502398",
            "country_code": "US",
            "telephone_number": "305-743-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91500 Overseas Hwy",
            "address_purpose": "LOCATION",
            "city": "Tavernier",
            "state": "FL",
            "postal_code": "330702547",
            "country_code": "US",
            "telephone_number": "305-434-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPA",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K9750",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME142967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090010203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "930123198",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G9184",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Emotional Wellness, PC
• Centrum Health Care Service Inc (Solaris Home Health)
• Chadwick M Lindt, D.D.S., P.C. (Excellent Dental)
• Troy B Chandler, PAC
• David Raj Chandra, DPM
• Eric Cheng, O.D.
• Ricky L. Childers, D.P.M.
• Delayna Choat, LMFT - A
• Chris McGee MD PA
• Christine Holland MD PA

• Emergency Medicine Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.