Individual provider Active NPI

Joseph Isaac CHI, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1760493464
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57219 Issued in FL
Practice address
1210 NW 95 St
Miami, FL 33147
Phone
(305) 691-1820
Fax
(305) 694-8450
NPI assigned
Aug 10, 2006
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME57219 FL Primary

Addresses

Primary practice location

1210 NW 95 St
Miami, FL 33147

Mailing address

1190 NW 95TH St
Ste 401
Miami, FL 33150-2067
Phone (305) 691-1820

Other identifiers 1

IdentifierTypeStateIssuer
063871400MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111026000436 FL Practitioner - Internal Medicine 2466625033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 NW 95TH St
Suite 401
Miami, FL 33150-2067
Phone (305) 691-1820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME57219FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph CHI MD PA Internal Medicine CurrentSince Aug 29, 2011 Accepting new patients

Locations

1190 NW 95th St
Ste 401
Miami, FL 33150
Phone (305) 835-8293

1210 NW 95th St
Miami, FL 33147
Phone (305) 691-1820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1760493464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502067",
            "telephone_number": "305-691-1820",
            "fax_number": "305-694-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 NW 95 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33147",
            "telephone_number": "305-691-1820",
            "fax_number": "305-694-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "JOSEPH",
        "middle_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063871400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.