Active NPI
Adib Antoine Chidiac, M.D., P.A., FACOG
- Specialist
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0043336
- Practice address
- 1600 N Federal Hwy Ste a
Pompano Beach, FL 33062-3229 - Phone
- (954) 366-6039
- Fax
- (954) 366-6851
- NPI assigned
- Apr 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0043336 | FL | Primary |
Addresses
Primary practice location
1600 N Federal Hwy Ste a
Pompano Beach, FL 33062-3229
Mailing address
PO Box 50461
Lighthouse Point, FL 33074-0461
Phone (954) 366-6039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370810100 | Medicaid | FL |
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
- Obstetrics/Gynecology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
601 E Sample Rd
Suite 103
Deerfield Beach, FL 33064-4443
Phone (954) 366-6039
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adib Antoine Chidiac, M.D., P.a. | Specialist | Current | Accepting new patients |
| OB Hospitalist Group LLC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Current | Accepting new patients | |
| New Life Maternity and Womens Center | Past | Accepting new patients |
Locations
601 E Sample Rd
Ste 103
Deerfield Beach, FL 33064
Phone (954) 366-6039
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
2100 NE 36th St
Ste 201
Lighthouse Point, FL 33064
Phone (954) 781-0180
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
1600 N Federal Hwy
#A
Pompano Beach, FL 33062
Phone (754) 234-0984
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- anthony.chidiac.1@28703.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Deerfield Beach, FL
- NPI 1215057922
Specialist
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Obstetrics & Gynecology Physician
- Lighthouse Point, FL
- NPI 1700808805
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1932162682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50461",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330740461",
"telephone_number": "954-366-6039",
"fax_number": "954-366-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N FEDERAL HWY STE A",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623229",
"telephone_number": "954-366-6039",
"fax_number": "954-366-6851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDIAC",
"first_name": "ADIB",
"middle_name": "ANTOINE",
"name_prefix": "Mr.",
"credential": "M.D., P.A., FACOG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0043336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370810100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.