Individual provider Active NPI

Viswanathan Chokkavelu, MD,FACP,FCCP

  • Internal Medicine Physician
  • Saint Clairsville, OH
National Provider Identifier
1841394335
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME122458 Issued in FL
Practice address
100 N Sugar St
Saint Clairsville, OH 43950-1231
Phone
(740) 695-4400
Fax
(740) 695-4148
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 10800 WV
Internal Medicine Physician 207R00000X ME122458 FL Primary
Infectious Disease Physician 207RI0200X 35100089 OH

Addresses

Primary practice location

100 N Sugar St
Saint Clairsville, OH 43950-1231

Mailing address

4290 Horse Creek Blvd
Fort Myers, FL 33905-8302
Phone (740) 359-0337

Other identifiers 2

IdentifierTypeStateIssuer
0082979000MedicaidWV
0308723MedicaidOH

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
I20150924002136 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 4082634027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Geriatric Medicine, Infectious Disease
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Group practices
Collier Health Services, IncGroup PAC ID 4183521925, 29 clinicians

Practice addresses (Care Compare)

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3064

1454 W Madison Ave
Immokalee, FL 34142-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35100089OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services Inc CurrentSince Feb 25, 2025 Accepting new patients
Collier Health Services, Inc CurrentSince Feb 25, 2025 Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients

Locations

125 Boston Ave
Immokalee, FL 34142
Phone (239) 657-5800

1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064

1454 Madison Ave W
Unit 4
Immokalee, FL 34142

508 N 9th St
Unit 142
Immokalee, FL 34142
Phone (239) 657-6363

1454 Madison Ave W
Unit 3
Immokalee, FL 34142

1845 Veterans Park Dr
Naples, FL 34109
Phone (239) 571-9015

2355 Stanford Ct
Ste 701
Naples, FL 34112

12655 Collier Blvd
Naples, FL 34116
Phone (239) 571-9015

Interoperability endpoints

  • Direct secure messaging: viswanathan.chokkavelu.2@10865.direct.athenahealth.com

Organizations & group practices 8

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1841394335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 HORSE CREEK BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339058302",
            "telephone_number": "740-359-0337",
            "fax_number": "386-719-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SUGAR ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501231",
            "telephone_number": "740-695-4400",
            "fax_number": "740-695-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKKAVELU",
        "first_name": "VISWANATHAN",
        "credential": "MD,FACP,FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WV",
            "license": "10800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122458",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35100089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082979000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.