Individual provider Active NPI

Valda Chijide, M.D.

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1639476633
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35.094602 Issued in OH
Practice address
6451 N Federal Hwy
Suite 800
Fort Lauderdale, FL 33308-1402
Phone
(954) 837-2435
NPI assigned
Feb 28, 2011
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35.094602 OH Primary
Infectious Disease Physician 207RI0200X 32518 GA
Infectious Disease Physician 207RI0200X 13390 NV

Addresses

Primary practice location

6451 N Federal Hwy
Suite 800
Fort Lauderdale, FL 33308-1402

Mailing address

3205 Linden PL
Canfield, OH 44406-8462
CA
Phone (330) 423-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111110000730 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 5890969729 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32518GAMDInfectious Disease Physician
13390NVMDInfectious Disease Physician
35.094602OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Health Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Youngstown Ohio Physician Services Company LLC Infectious Disease Past Accepting new patients

Locations

4182 Worth Ave
#I17
Columbus, OH 43219
Phone (740) 963-9013

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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1639476633",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3205 LINDEN PL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068462",
            "telephone_number": "330-423-3907",
            "fax_number": "614-755-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 N FEDERAL HWY",
            "address_2": "SUITE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081402",
            "telephone_number": "954-837-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIJIDE",
        "first_name": "VALDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.094602",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "32518",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "13390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.