Individual provider Active NPI

Joseph E Chebli, M.D. F.A.C.S

  • Surgery Physician
  • Venice, FL
National Provider Identifier
1649215435
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME114652 Issued in FL
Practice address
1370 E Venice Ave
Suite 208
Venice, FL 34285-9082
Phone
(941) 209-4646
Fax
(941) 445-4152
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00043274 WA
Surgery Physician 208600000X ME114652 FL Primary

Addresses

Primary practice location

1370 E Venice Ave
Suite 208
Venice, FL 34285-9082

Mailing address

1370 E Venice Ave
Suite 208
Venice, FL 34285-9082
Phone (941) 209-4646

Other identifiers 4

IdentifierTypeStateIssuer
3267CHOtherWAREGENCE
1122720MedicaidWA
0202216OtherWALABOR AND INDUSTRIES
DD8376OtherWAMEDICARE RAILROAD

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
I20131010001555 FL Practitioner - General Surgery 1850379231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043274WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Nov 5, 2024 Accepting new patients
Joseph E Chebli MD Facs Inc PS Specialist CurrentSince Oct 4, 2005 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients
Overlake Medical Clinics LLC Specialist PastSince Jan 1, 2013 Accepting new patients
Bariatric Surgery Clinic Trust Surgery Past Accepting new patients
Overlake Medical Clinics, LLC Specialist Past Accepting new patients
Urology Northwest, PS Past Accepting new patients

Locations

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

1370 E Venice Ave
Ste 208
Venice, FL 34285
Phone (941) 209-4646

1700 E Venice Ave
Venice, FL 34292
Phone (941) 483-9760

1570 N 115th St
Ste 5
Seattle, WA 98133
Phone (206) 368-1230

10330 Meridian Ave N
Ste 390
Seattle, WA 98133
Phone (206) 368-1230

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACGEBD/Endpoint/ACGEBD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1649215435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE",
            "address_2": "SUITE 208",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859082",
            "telephone_number": "941-209-4646",
            "fax_number": "941-445-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE",
            "address_2": "SUITE 208",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859082",
            "telephone_number": "941-209-4646",
            "fax_number": "941-445-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBLI",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.  F.A.C.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00043274",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME114652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3267CH",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122720",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0202216",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD8376",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.