NPIMap

Individual provider Active NPI

Michael Chavez, MD

  • Sports Medicine (Family Medicine) Physician
  • Klawock, AK
National Provider Identifier
1730675828
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
228101 Issued in AK
Practice address
7300 Klawock Hollis Highway
Klawock, AK 99925
Phone
(907) 523-4300
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10064482 TX
Sports Medicine (Family Medicine) Physician 207QS0010X 23799 NV
Sports Medicine (Family Medicine) Physician 207QS0010X 228101 AK Primary

Addresses

Primary practice location

7300 Klawock Hollis Highway
Klawock, AK 99925

Mailing address

PO Box 69
Klawock, AK 99925-0069
Phone (907) 523-4300

Other practice location 1

745 W Moana Ln
Reno, NV 89509-4991
Phone (775) 982-1000

Other practice location 2

301 University Blvd
Galveston, TX 77555
Phone (409) 744-4030

Other practice location 3

9849 Kenworthy St
El Paso, TX 79924-4402
Phone (915) 215-5357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820002809 TX Practitioner - Family Practice 2264780873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Practice addresses (Care Compare)

7300 Klawock Hollis Hwy
Klawock, AK 99925-7891
Phone (907) 755-4800

Hospital & facility affiliations

  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228101AKMDSports Medicine (Family Medicine) Physician
23799NVMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Aug 6, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Aug 6, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Searhc PastSince Feb 23, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • Direct secure messaging: mchavez198420@direct.renown.org

Organizations & group practices 5

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1730675828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "999250069",
            "telephone_number": "907-523-4300",
            "fax_number": "907-523-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 KLAWOCK HOLLIS HIGHWAY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-523-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 W Moana Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094991",
            "country_code": "US",
            "telephone_number": "775-982-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77555",
            "country_code": "US",
            "telephone_number": "409-744-4030",
            "fax_number": "409-740-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9849 Kenworthy St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244402",
            "country_code": "US",
            "telephone_number": "915-215-5357",
            "fax_number": "915-215-8655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10064482",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "23799",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AK",
            "license": "228101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klawock, AK

Sources for this page

Verify at the official NPI Registry.