Individual provider Active NPI

Jeffrey Bruce Chesler I, MD

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1639258221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0053362 Issued in FL
Practice address
1406 Kingsley Ave Ste D
Orange Park, FL 32073-4528
Phone
(904) 541-1780
Fax
(904) 541-1785
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0053362 FL Primary

Addresses

Primary practice location

1406 Kingsley Ave Ste D
Orange Park, FL 32073-4528

Mailing address

1406 Kingsley Ave Ste D
Orange Park, FL 32073-4528
Phone (904) 541-1780

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
I20120626000104 FL Practitioner - Internal Medicine 2567627599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1543 Kingsley Ave
Suite 1B
Orange Park, FL 32073-4585
Phone (904) 541-1780

Hospital & facility affiliations

  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Accentcare Home Health of Jacksonville Home health agency, Orange Park, FL, CCN 107725
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0053362FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Internal Medicine PA Internal Medicine CurrentSince Jul 30, 1988 Accepting new patients

Locations

1543 Kingsley Ave
Ste 1B
Orange Park, FL 32073
Phone (904) 269-0384

1406 Kingsley Ave
Ste D
Orange Park, FL 32073
Phone (904) 541-1780

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.683093

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 and National Provider Directory roles.

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639258221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-541-1780",
            "fax_number": "904-541-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-541-1780",
            "fax_number": "904-541-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESLER",
        "first_name": "JEFFREY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0053362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.