Individual provider Active NPI

Chester D. Miltenberger, M.D.

  • Specialist
  • Lake Mary, FL
National Provider Identifier
1902855505
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME40263 Issued in FL
Practice address
766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Phone
(407) 322-5923
Fax
(407) 333-2358
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME40263 FL
Specialist 174400000X ME40263 FL Primary

Addresses

Primary practice location

766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552

Mailing address

766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Phone (407) 322-5923

Other identifiers 1

IdentifierTypeStateIssuer
202961800MedicaidFL

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
I20060523000136 FL Practitioner - Internal MedicinePractitioner - Addiction Medicine 7810908290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
University of Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Phone 4073225923109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chester D. Miltenberger, MD, PA Current Accepting new patients
Chester D. Miltenberger, MD PA Internal Medicine CurrentSince Sep 24, 2009 Accepting new patients

Locations

766 N Sun Dr
Ste 1060
Lake Mary, FL 32746
Phone (386) 668-6969

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDCGDD/Endpoint/JDCGDD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1902855505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 N SUN DR",
            "address_2": "SUITE 1060",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462552",
            "telephone_number": "407-322-5923",
            "fax_number": "407-333-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR",
            "address_2": "SUITE 1060",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462552",
            "telephone_number": "407-322-5923",
            "fax_number": "407-333-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERGER",
        "first_name": "CHESTER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME40263",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202961800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.