Joseph S Chirillo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME48779 Issued in FL

Practice address

697 Old Englewood Rd Ste B
Englewood, FL 34223-2631

Phone

(941) 460-3124

Fax

(941) 999-4480

NPI assigned

Apr 4, 2006

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: joseph.chirillo.1@15244.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1932161213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 OLD ENGLEWOOD RD STE B",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232631",
            "telephone_number": "941-460-3124",
            "fax_number": "941-999-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 OLD ENGLEWOOD RD STE B",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232631",
            "telephone_number": "941-460-3124",
            "fax_number": "941-999-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRILLO",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "59309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rees Cattermole
• Center for Digestive Disease
• Center for Womens Health
• Todd Robertson Chace, D.O.
• Jeffrey A. Chirillo, D.M.D.
• Chiropractic Health Center of Englewood, Inc
• Christen Mitchell DMD LLC
• Catherine Cier, DPT
• Christina Clark
• Coastal Breeze Anesthesia PLLC

• Family Medicine Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.