Active NPI
Esmil Perez Chavez, M.D.
- Pediatrics Physician
- Davie, FL
National Provider Identifier
1801174453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME112118
- Practice address
- 6200 Falconsgate Ave
Davie, FL 33331-2926 - Phone
- (240) 676-5724
- Fax
- (786) 360-2509
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME112118 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6200 Falconsgate Ave
Davie, FL 33331-2926
Mailing address
6200 Falconsgate Ave
Davie, FL 33331-2926
Phone (240) 676-5724
Other practice location 1
4777 N Congress Ave
Boynton Beach, FL 33426-7941
Phone (561) 328-8712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006336900 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Soma Medical Center PA 2 | Pediatrics | Past | Accepting new patients |
| Marshland Emergency Physicians, LLC | Past | Accepting new patients | |
| Soma Medical Center PA 7 | Pediatrics | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
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.
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Emergency Medicine Physician
- Plantation, FL
- NPI 1154696961
-
- Pediatrics Physician
- Boynton Beach, FL
- NPI 1548930126
-
- Pediatrics Physician
- Boynton Beach, FL
- NPI 1033790050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1801174453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 FALCONSGATE AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333312926",
"telephone_number": "240-676-5724",
"fax_number": "786-360-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 FALCONSGATE AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333312926",
"telephone_number": "240-676-5724",
"fax_number": "786-360-2509"
}
],
"practiceLocations": [
{
"address_1": "4777 N Congress Ave",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334267941",
"country_code": "US",
"telephone_number": "561-328-8712",
"fax_number": "561-209-5013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ CHAVEZ",
"first_name": "ESMIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME112118",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006336900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.