Active NPI
Natalio J Chediak, M.D.
- Neurology Physician
- Boca Raton, FL
National Provider Identifier
1851451256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME45193
- Practice address
- 660 Glades Road
Suite 220
Boca Raton, FL 33431-6466 - Phone
- (561) 750-9881
- Fax
- (561) 750-9644
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | ME45193 | FL | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | ME045193 | FL | |
| Neurology Physician | 2084N0400X | ME45193 | FL | Primary |
Addresses
Primary practice location
660 Glades Road
Suite 220
Boca Raton, FL 33431-6466
Mailing address
660 Glades Road
Suite 220
Boca Raton, FL 33431-6466
Phone (561) 750-9881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851451256 | Other | FL | NPI |
| 94537 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1053506790 | Other | FL | NPI GROUP |
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
- Neurology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
660 Glades Rd
Suite 220
Boca Raton, FL 33431-6466
Phone (561) 750-9881
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME45193 | FL | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalio J Chediak MD PA | Single Specialty | Current | Accepting new patients |
Locations
660 Glades Rd
Ste 220
Boca Raton, FL 33431
Phone (561) 750-9881
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": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1851451256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GLADES ROAD",
"address_2": "SUITE 220",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316466",
"telephone_number": "561-750-9881",
"fax_number": "561-750-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 GLADES ROAD",
"address_2": "SUITE 220",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316466",
"telephone_number": "561-750-9881",
"fax_number": "561-750-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEDIAK",
"first_name": "NATALIO",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "FL",
"license": "ME45193",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "FL",
"license": "ME045193",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME45193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1851451256",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "94537",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1053506790",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.