Juan Carlos Zeballos Chavez, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

57358 Issued in MN

Practice address

1600 Saint Johns Blvd
Suite 201
Maplewood, MN 55109-1183

Phone

(651) 471-1166

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, AZ2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
• City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138
• M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
• M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207

Merit-based Incentive Payment System (MIPS)

Final score

78.52 of 100Reported as group

Quality

66.08

Promoting interoperability

100

Improvement activities

40

Cost

58.3

Merit-based Incentive Payment System (MIPS)

Final score

92.68 of 100Reported as group

Quality

89.73

Promoting interoperability

100

Improvement activities

40

Cost

80.99

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jzeballoschavez190932@cityofhope.direct-ci.com
• Direct secure messaging: jzeballoschavez413580@fairview.direct-ci.com

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.

• Healtheast Medical Research Institute

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment Care Compare group NPD
• City of Hope Medical Group of Arizona LLC

  • Medical Oncology Physician
  • Goodyear, AZ
  • NPI 1609026806

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Fairview Express Care

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Express Care

  • Multi-Specialty Clinic/Center
  • Wyoming, MN
  • NPI 1275875031
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD
• Fairview Specialty Services

  • Point of Service
  • Saint Paul, MN
  • NPI 1912066218
  NPD
• Healtheast Medical Research Institute

  • Family Medicine Physician
  • Stillwater, MN
  • NPI 1285929265
  NPD
• Healtheast Medical Research Institute

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Oakdale, MN
  • NPI 1073569935
  NPD (past)

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

• Fairview Health Services

  • General Acute Care Hospital
  • Burnsville, MN
  • NPI 1225199128
  Care Compare affiliation
• Fairview Health Services

  • General Acute Care Hospital
  • Burnsville, MN
  • NPI 1245217520
  Care Compare affiliation
• Healtheast St. John'S Hospital

  • General Acute Care Hospital
  • Maplewood, MN
  • NPI 1447218482
  Care Compare affiliation
• Healtheast Woodwinds Hospital

  • General Acute Care Hospital
  • Woodbury, MN
  • NPI 1356309322
  Care Compare affiliation
• Western Regional Medical Center Inc

  • Community/Retail Pharmacy
  • Goodyear, AZ
  • NPI 1710138037

  Hospital

  Care Compare affiliation
• Western Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1508029422
  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1841363223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD",
            "address_2": "SUITE 201",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091183",
            "telephone_number": "651-471-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD",
            "address_2": "SUITE 201",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091183",
            "telephone_number": "651-471-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBALLOS CHAVEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "49407-020",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "57358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Young, LPCC
• Aliya A Yusuf
• Mariah R Zabolotny, DDS
• Andrew C Zaldivar
• Renee Zasada, DNP
• Maxwell Zell, PA
• Carol Elizabeth Zempel, PHD LP
• Zero Distance Acupuncture LLC
• Xiaopeng P Zhang, MD
• Jason Brian Ziemer, DDS

• Pulmonary Disease Physician in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pulmonary Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.