Edgard Chavez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME104256 Issued in FL

Practice address

1636 N Central Ave
Suite 100
Sebastian, FL 32958-3808

Phone

(772) 388-9066

Fax

(772) 388-9067

NPI assigned

Apr 16, 2009

Last updated

Apr 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chavez Jo Internal Medicine P.a.Group PAC ID 8921151101, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chavez Jo Internal Medicine P.a.

  • Internal Medicine Physician
  • Sebastian, FL
  • NPI 1922257096
  Medicare reassignment Care Compare group NPD
• Riverside Surgical and Weight Loss Center,LLC

  • Surgery Physician
  • Sebastian, FL
  • NPI 1437397544
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Indian River Memorial Hospital Inc

  dba Cleveland Clinic Indian River Hospital

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• Ohsrh, LLC

  dba Orlando Health Sebastian River Hospital

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1689817843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 PEACOCK DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329049516",
            "telephone_number": "321-745-5954",
            "fax_number": "772-388-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 N CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583808",
            "telephone_number": "772-388-9066",
            "fax_number": "772-388-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "EDGARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua V Chapman, DMD
• Charles Family Pharmacy
• Kerlyne Charles-Jeune, PMHNP-BC
• Patti Charles, PHARMD
• Chavez Jo Internal Medicine P.a.
• Katiusca Chavez, M.D.
• Catherine Anne Cheries, PA
• David L. Christensen, CRNA
• Betty C Chukwuma, DNP
• Clark Chiropractic and Wellness PLLC

• Internal Medicine Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.