Rainer Quijada Chan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME99142 Issued in FL

Practice address

900 49TH St N
St Petersburg, FL 33710-6625

Phone

(813) 915-5459

Fax

(727) 201-4147

NPI assigned

Aug 6, 2007

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health System Sunbelt IncGroup PAC ID 3274657721, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: rchan73488@adventhealth.direct-ci.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Florida Hospital Dade City Inc

  dba AdventHealth Dade City

  • General Acute Care Hospital
  • Dade City, FL
  • NPI 1215444054

  Corporate Director

  CMS ownership
• Florida Hospital Zephyrhills Inc

  dba AdventHealth Zephyrhills

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677

  Corporate Director

  CMS ownership

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.

• Adventist Health System Sunbelt Inc

  dba AdventHealth Primary Care Plus

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  Medicare reassignment Care Compare group NPD
• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Park, FL
  • NPI 1780777391
  Medicare reassignment NPD
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Florida Hospital Zephyrhills Inc

  dba AdventHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Zephyrhills, FL
  • NPI 1639325046
  Medicare reassignment NPD
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  NPD
• Adventist Health System/Sunbelt, Inc

  dba AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Oviedo

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114
  NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Total Health Management Primary Care Plus - Apopka

  • Family Medicine Physician
  • Apopka, FL
  • NPI 1619456399
  NPD
• Adventist Health Systems Sunbelt Inc

  dba Medicine Specialists at Florida Hospital

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1790929073
  NPD
• Florida Hospital Zephyrhills Inc

  dba AdventHealth Zephyrhills

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1972794790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106625",
            "telephone_number": "813-915-5459",
            "fax_number": "727-201-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106625",
            "telephone_number": "813-915-5459",
            "fax_number": "727-201-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 49th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337106625",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "fax_number": "727-201-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "RAINER",
        "middle_name": "QUIJADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champion Comprehensive Virtual Services LLC
• Colin Chan, M.D.
• Daniel Tim Chan, DO
• Denise Michelle Chan, MD
• Mark Chan, DO, MS
• Sebrina Chan
• Neha Chandan, MD
• Himanshu V Chandarana, M.D.
• Cecilia Leticia Chandler, APRN
• Nicole Chandler, MD

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.