Individual provider Active NPI

Chester Borge, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1831064674
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9120982 Issued in FL
Practice address
322 NW 107TH Ave Apt 8a
Miami, FL 33172-3873
Phone
(786) 488-2549
NPI assigned
Oct 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9120982 FL Primary

Addresses

Primary practice location

322 NW 107TH Ave Apt 8a
Miami, FL 33172-3873

Mailing address

322 NW 107TH Ave Apt 8a
Miami, FL 33172-3873
Phone (786) 488-2549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251227000437 AZ Practitioner - Physician Assistant 9537655626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Milyani MD PLLCGroup PAC ID 9133502008, 6 clinicians

Practice addresses (Care Compare)

1951 Mesquite Ave
Suite F
Lake Havasu City, AZ 86403-5746
Phone (928) 953-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120982FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
W Milyani MD PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1520 E Hammer Ln
Fort Mohave, AZ 86426

1951 Mesquite Ave
Ste F
Lk Havasu Cty, AZ 86403
Phone (928) 855-4077

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.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1831064674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NW 107TH AVE APT 8A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723873",
            "telephone_number": "786-488-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 NW 107TH AVE APT 8A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723873",
            "telephone_number": "786-488-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGE",
        "first_name": "CHESTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.