Individual provider Active NPI

Joseph Edward Chavez, M.D

  • Pediatrics Physician
  • Big Spring, TX
National Provider Identifier
1962460345
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K7515 Issued in TX
Practice address
1501 W 11TH PL
Ste. 205
Big Spring, TX 79720-4119
Phone
(432) 268-4660
Fax
(432) 268-4648
NPI assigned
May 3, 2006
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K7515 TX Primary
Pediatric Adolescent Medicine Physician 2080A0000X K7515 TX

Addresses

Primary practice location

1501 W 11TH PL
Ste. 205
Big Spring, TX 79720-4119

Mailing address

1501 W 11TH PL
Ste. 205
Big Spring, TX 79720-4119
Phone (432) 268-4660

Other identifiers 3

IdentifierTypeStateIssuer
159667801MedicaidTX
102761704MedicaidTX
159667802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050309000926 TX Practitioner - Pediatric Medicine 3870547193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of New Mexico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Big Spring, TX 79720-4119
Phone (432) 714-4600

2301 S Gregg St
Big Spring, TX 79720-5531
Phone (915) 267-5531

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Jul 1, 2014 Accepting new patients
Regional Employee Assistance Program Inc Pediatrics Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jul 1, 2014 Accepting new patients
Big Bend Medical Group CurrentSince Nov 17, 2015 Accepting new patients
Big Bend Medical Group Pediatrics CurrentSince Nov 17, 2015 Accepting new patients
Steward Texas Hospital Holdings LLC Past Accepting new patients
Big Spring Texas Hospital Company LLC Past Accepting new patients
Covenant Medical Group Past Accepting new patients

Locations

1501 W 11th Pl
Ste 110
Big Spring, TX 79720
Phone (432) 268-4522

1501 W 11th Pl
Ste 205
Big Spring, TX 79720
Phone (432) 268-4660

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

2301 S Gregg St
Big Spring, TX 79720
Phone (432) 267-5531

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

Interoperability endpoints

  • Direct secure messaging: chavezje@yourcarecommunity.org
  • Direct secure messaging: joseph.chavez.1@1603.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1962460345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL",
            "address_2": "STE. 205",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204119",
            "telephone_number": "432-268-4660",
            "fax_number": "432-268-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL",
            "address_2": "STE. 205",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204119",
            "telephone_number": "432-268-4660",
            "fax_number": "432-268-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7515",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "K7515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159667801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102761704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159667802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.