Active NPI
Viswanathan Chokkavelu, MD,FACP,FCCP
- Internal Medicine Physician
- Saint Clairsville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME122458
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082979000 | Medicaid | WV | |
| 0308723 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1970
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35100089 | OH | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collier Health Services Inc | Current | Accepting new patients | |
| Collier Health Services, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Immokalee, FL
- NPI 1609827211
-
- Community/Retail Pharmacy
- Naples, FL
- NPI 1609759091
-
- General Practice Physician
- Immokalee, FL
- NPI 1639994106
-
- Federally Qualified Health Center (FQHC)
- Immokalee, FL
- NPI 1902621477
-
- General Practice Physician
- Naples, FL
- NPI 1164276291
-
- Federally Qualified Health Center (FQHC)
- Naples, FL
- NPI 1255107629
-
- General Practice Physician
- Ave Maria, FL
- NPI 1780562074
-
- Federally Qualified Health Center (FQHC)
- Ave Maria, FL
- NPI 1871471169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.