Active NPI
Bhavana Sree Vangara Chapman, M.D.
- Radiation Oncology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME148467
- 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
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NR340 | Other | FL | MEDICARE |
| 67I18 | Other | FL | FL BLUE |
| 110112800 | 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
- Radiation Oncology
- Education
- University of Pittsburgh School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME148467 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Specialists, LLC | Multi-Specialty | Current | Accepting new patients |
| Cancer Specialists, LLC | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1528323268
Multi-Specialty
-
- Pharmacy
- Jacksonville, FL
- NPI 1851656607
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.