Chaim J Margolin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME62306 Issued in FL

Practice address

13813 Metro Pkwy
Fort Myers, FL 33912-4343

Phone

(855) 674-4624

Fax

(941) 883-8386

NPI assigned

Jun 6, 2006

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Diagnostic Radiology

Education

Rutgers School of Dental Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment Care Compare group NPD
• Custom Radiology Solutions LLC

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1073790291
  NPD (past) Authorized official
• Global Imaging and Diagnostics Inc

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1346783883
  NPD (past) Authorized official
• Global Imaging and Diagnostics Inc

  • Physiological Laboratory
  • Fort Myers, FL
  • NPI 1639535727
  NPD (past) Authorized official
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• American Health S, LLC

  • Clinical Medical Laboratory
  • Davie, FL
  • NPI 1295823540
  NPD (past)
• Aria Reading Services LLC

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1073757365
  NPD (past)
• Internal Medicine Associates of Lee County Hospitalist Group, LLC

  • Hospitalist Physician
  • Fort Myers, FL
  • NPI 1033402185
  NPD (past)
• RRC Vascular Specialists Inc

  • Vascular & Interventional Radiology Physician
  • Fort Myers, FL
  • NPI 1871778894
  NPD (past)
• Southeast Radiology Associates PL

  • Diagnostic Radiology Physician
  • Lake City, FL
  • NPI 1467409631
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1700825551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13813 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124343",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19531 Cochran Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339482081",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 8th St N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025519",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "239-261-5571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1528 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903798",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19621 Cochran Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339482070",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S McCall Rd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342248616",
            "country_code": "US",
            "telephone_number": "941-474-3359",
            "fax_number": "941-475-7573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 12th St N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341026249",
            "country_code": "US",
            "telephone_number": "239-315-7120",
            "fax_number": "239-315-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 SW Health Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341090421",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Tamiami Trl Ste B",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528148",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 E Olympia Ave Unit 213",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503823",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARGOLIN",
        "first_name": "CHAIM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME62306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME62306",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370522600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2004899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4238315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marcuccio, RBT
• Bryn Evan Marcus, LMHC
• Miranda McGrath Marcus, APRN, CNM
• Mardi Gras Anesthesia LLC
• Kelly Marek
• Francine Margolin II
• Brian K Marhue, O.D.
• Marian Enrich Professional Service Corp
• Marian Infectious Disease PLLC
• Marie a. Gale

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.