Individual provider Active NPI

Marilyn Chavannes, M.D.

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1972970374
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125483 Issued in FL
Practice address
1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4137
Phone
(407) 892-3387
Fax
(407) 343-8888
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME125483 FL Primary

Addresses

Primary practice location

1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4137

Mailing address

1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4137
Phone (407) 407-3387

Other identifiers 1

IdentifierTypeStateIssuer
P01704314OtherFLRAILROAD MEDICARE

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
I20151028001651 FL Practitioner - Family Practice 6507175700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Mederi Caretenders Home health agency, Kissimmee, FL, CCN 107422
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125483FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Dec 2, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Adventist Health System Sunbelt, Inc. Family Medicine CurrentSince Jan 24, 2019 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Jan 24, 2019 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Apr 20, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 2, 2020 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

1600 Budinger Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 826-3006

1330 Budinger Ave
Ste 108
Saint Cloud, FL 34769
Phone (407) 892-3387

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mchavannes180683@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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 10

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1972970374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 108",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694137",
            "telephone_number": "407-407-3387",
            "fax_number": "407-348-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 108",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694137",
            "telephone_number": "407-892-3387",
            "fax_number": "407-343-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVANNES",
        "first_name": "MARILYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01704314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.