Individual provider Active NPI

Eric Scott Chenven, M.D.

  • Urology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1962493619
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME87659 Issued in FL
Practice address
1200 E Broward Blvd
Fort Lauderdale, FL 33301-2134
Phone
(954) 463-6408
Fax
(954) 463-1858
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME87659 FL Primary

Addresses

Primary practice location

1200 E Broward Blvd
Fort Lauderdale, FL 33301-2134

Mailing address

2234 Colonial Blvd
Managed Care Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 10

IdentifierTypeStateIssuer
1192963OtherFLWELLCARE
79056OtherFLBLUECROSS BLUESHIELD OF FL
000056842ZOtherFLHUMANA
P0003137OtherFLFLORIDA HEALTHCARE PLUS
6902213OtherFLCIGNA
P00731868OtherFLRAILROAD MEDICARE
2677903-00MedicaidFL
11985OtherFLMEDICA
PRL00000274253OtherFLPREFERRED MEDICAL PLAN (COMM/MEDICARE)
10201OtherFLDIMENSION HEALTH

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
I20090422000008 FL Practitioner - Urology 7214008010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

2021 E Commercial Blvd
Suite 302
Fort Lauderdale, FL 33308-3754
Phone (954) 491-0030

2150 S Andrews Ave
Suite 100
Fort Lauderdale, FL 33316-3432
Phone (954) 463-6408

730 Goodlette Rd
Suite 201
Naples, FL 34102-5618
Phone (239) 263-4499

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Urology CurrentSince Apr 1, 2009 Accepting new patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients
Genesiscare USA of Florida LLC Urology CurrentSince Apr 1, 2009 Accepting new patients

Locations

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2160 Colonial Blvd
Fort Myers, FL 33907

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

2021 E Commercial Blvd
Ste 302
Ft Lauderdale, FL 33308
Phone (954) 463-6408

2150 S Andrews Ave
Ste 100
Ft Lauderdale, FL 33316
Phone (954) 463-6408

1200 E Broward Blvd
Ft Lauderdale, FL 33301
Phone (954) 463-6408

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1670 N University Dr
Ste A
Pompano Beach, FL 33071
Phone (954) 227-6747

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ericchenven@fyc.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1962493619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "MANAGED CARE DEPT.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012134",
            "telephone_number": "954-463-6408",
            "fax_number": "954-463-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENVEN",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME87659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1192963",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF FL",
            "identifier": "79056",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000056842Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE PLUS",
            "identifier": "P0003137",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6902213",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00731868",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677903-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "11985",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL PLAN (COMM/MEDICARE)",
            "identifier": "PRL00000274253",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION HEALTH",
            "identifier": "10201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.