NPIMap

Organization Active NPI

CH Medical Group Corp.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1609377035
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CH MEDICAL GROUP CORP.
Practice address
711 NW 23Rd Ave Ste 301
Miami, FL 33125-3395
Phone
(305) 643-4797
Fax
(305) 643-4880
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Celina Del Carmen Diaz, ARNPNPI 1487167904
Title
Owner/President
Phone
(305) 643-4797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

711 NW 23Rd Ave Ste 301
Miami, FL 33125-3395

Mailing address

711 NW 23Rd Ave Ste 301
Miami, FL 33125-3395
Phone (305) 643-4797

Other practice location 1

3383 NW 7th St Fl 2
Miami, FL 33125-4164
Phone (305) 643-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190724004028 FL Part B Supplier - Clinic/Group Practice 4385970623 Receives reassigned benefits from 7 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
CH Medical Group Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1609377035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253395",
            "telephone_number": "305-643-4797",
            "fax_number": "305-643-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253395",
            "telephone_number": "305-643-4797",
            "fax_number": "305-643-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3383 NW 7th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331254164",
            "country_code": "US",
            "telephone_number": "305-643-4797",
            "fax_number": "305-643-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CH MEDICAL GROUP CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CELINA",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-643-4797",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.