Individual provider Active NPI

Marisel R Chibas, M.D.

  • Gynecology Physician
  • The Villages, FL
National Provider Identifier
1689686933
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME172196 Issued in FL
Practice address
2955 Brownwood Blvd Ste 403
The Villages, FL 32163-2040
Phone
(844) 884-9355
Fax
(352) 674-8714
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A85381 CA
Gynecology Physician 207VG0400X ME172196 FL Primary

Addresses

Primary practice location

2955 Brownwood Blvd Ste 403
The Villages, FL 32163-2040

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Other practice location 1

1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Phone (844) 884-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000880 CA Practitioner - Obstetrics/GynecologyPractitioner - Urology 5395630933 Practice locations: El Centro, CA
I20250529003614 FL Practitioner - Obstetrics/Gynecology 5395630933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

1400 N US Hwy 441
Suite 810
The Villages, FL 32159-8987
Phone (352) 674-8700

2955 Brownwood Blvd
The Villages, FL 32163-2036
Phone (352) 674-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85381CAMDMarriage & Family Therapist
ME172196FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Villages Health System LLC CurrentSince Jun 23, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Current Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

2955 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-8700

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 674-8700

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

1020 Lake Sumter Lndg
The Villages, FL 32162

Interoperability endpoints

  • Direct secure messaging: marisel.chibas.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1689686933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD STE 403",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632040",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N US Highway 441 Ste 810",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598987",
            "country_code": "US",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIBAS",
        "first_name": "MARISEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A85381",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME172196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.