Organization Active NPI

Joseph CHI MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1831490457
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57219 Issued in FL
Legal business name
JOSEPH CHI MD PA
Practice address
1210 NW 95TH St
Miami, FL 33147-3318
Phone
(305) 691-1820
Fax
(305) 694-8450
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Joseph Isaac CHI, M.D.NPI 1760493464
Title
President
Phone
(305) 691-1820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME57219 FL Primary

Addresses

Primary practice location

1210 NW 95TH St
Miami, FL 33147-3318

Mailing address

1210 NW 95TH St
Miami, FL 33147-3318
Phone (305) 691-1820

Other identifiers 1

IdentifierTypeStateIssuer
0638714MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000380 FL Part B Supplier - Clinic/Group Practice 0042483612 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1831490457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331473318",
            "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 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331473318",
            "telephone_number": "305-691-1820",
            "fax_number": "305-694-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-691-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638714",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.