Active NPI
Victor M Chavez, MD
- Pulmonary Disease Physician
- Evansville, IN
National Provider Identifier
1700830593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01059954A
- Practice address
- 901 Saint Marys Dr
Suite 200
Evansville, IN 47714-0520 - Phone
- (812) 485-6030
- Fax
- (812) 485-6032
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 01059954A | IN | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036096620A | IN |
Addresses
Primary practice location
901 Saint Marys Dr
Suite 200
Evansville, IN 47714-0520
Mailing address
901 Saint Marys Dr Ste 200
Evansville, IN 47714-0509
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64108640 | Medicaid | KY | |
| 200524890 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096620A | IN | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Physicians of Southern Illinois, PC | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Belleville, IL
- NPI 1023034618
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1700830593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SAINT MARYS DR STE 200",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SAINT MARYS DR",
"address_2": "SUITE 200",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140520",
"telephone_number": "812-485-6030",
"fax_number": "812-485-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "VICTOR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01059954A",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "036096620A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64108640",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200524890",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.