Ismary Chacon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107555 Issued in FL

Practice address

301 NE 167TH St
N Miami Beach, FL 33162-2304

Phone

(305) 940-0522

Fax

(305) 653-1138

NPI assigned

Mar 12, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

99.45 of 100Reported as group

Quality

81.9

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergent Physicians of Palmetto Bay, LLC

  • Emergency Medicine Physician
  • Palmetto Bay, FL
  • NPI 1639991912
  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment
• Emergent Physicians of Country Walk, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1114497005
  Medicare reassignment
• Emergent Physicians of Doral, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1245909449
  Medicare reassignment
• Emergent Physicians of Miami Lakes, LLC

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1730901018
  Medicare reassignment
• Emergent Physicians of West Dade, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1275200537
  Medicare reassignment
• South Miami Criticare Inc.

  • Emergency Medicine Physician
  • South Miami, FL
  • NPI 1306878210
  Medicare reassignment

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1942626155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 NW 159TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 167TH ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622304",
            "telephone_number": "305-940-0522",
            "fax_number": "305-653-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "ISMARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheeba Ben, MD
• Larry Benovitz
• Cardio Sound Diagnostics
• Carlos R Santos MD PA
• Casthely Orthodontics, PA
• Mary Antonette Maglalang Co, M.D.
• Communication Consultants
• Dan Hoffman MD PA (Eye Centers of South Florida)
• Daniel Max & Marc Andrea LLC (My EyeLab)
• Daryl J Saferstein & Associates Inc

• Medical Physician Assistant in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.

Verify at the official NPI Registry.