Individual provider Active NPI

Bhavana Sree Vangara Chapman, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1932554987
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME148467 Issued in FL
Practice address
2 Shircliff Way
Jacksonville, FL 32204-4753
Phone
(904) 388-2619
Fax
(904) 388-0240
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X ME148467 FL Primary

Addresses

Primary practice location

2 Shircliff Way
Jacksonville, FL 32204-4753

Mailing address

7015 A C Skinner Pkwy Ste 1
Jacksonville, FL 32256-6932
Phone (904) 363-2113

Other practice location 1

2370 Market Dr
Fleming Island, FL 32003-4326
Phone (904) 264-6201

Other practice location 2

7015 A C Skinner Pkwy Bldg 100
Jacksonville, FL 32256-6932
Phone (904) 516-3737

Other identifiers 3

IdentifierTypeStateIssuer
NR340OtherFLMEDICARE
67I18OtherFLFL BLUE
110112800MedicaidFL

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
I20210415001995 FL Practitioner - Radiation Oncology 6608284401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Pittsburgh School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Specialists LLCGroup PAC ID 9133377948, 46 clinicians

Practice addresses (Care Compare)

121 Whitehall Dr
St Augustine, FL 32086-5266
Phone (904) 825-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148467FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Specialists, LLC Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Cancer Specialists, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

2370 Market Dr
Fleming Island, FL 32003
Phone (904) 264-6201

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

7015 A C Skinner Pkwy
Bldg 100
Jacksonville, FL 32256
Phone (904) 516-3737

2 Shircliff Way
Jacksonville, FL 32204
Phone (904) 308-7411

7015 A C Skinner Pkwy
Ste 1
Jacksonville, FL 32256
Phone (904) 363-2113

121 Whitehall Dr
St Augustine, FL 32086
Phone (904) 519-2738

Interoperability endpoints

  • Direct secure messaging: bchapman744165@direct.shands.ufl.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1932554987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 A C SKINNER PKWY STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566932",
            "telephone_number": "904-363-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-388-2619",
            "fax_number": "904-388-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2370 Market Dr",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034326",
            "country_code": "US",
            "telephone_number": "904-264-6201",
            "fax_number": "904-264-6858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7015 A C Skinner Pkwy Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566932",
            "country_code": "US",
            "telephone_number": "904-516-3737",
            "fax_number": "904-516-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "BHAVANA",
        "middle_name": "SREE VANGARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME148467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NR340",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "67I18",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110112800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.