Individual provider Active NPI

Chaim Nissel, DO

  • Family Medicine Physician
  • Tamarac, FL
National Provider Identifier
1982199634
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS15435 Issued in FL
Practice address
7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone
(954) 771-7743
Fax
(954) 771-7748
NPI assigned
Jun 26, 2018
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4504 TN
Family Medicine Physician 207Q00000X OS15435 FL Primary
Family Medicine Physician 207Q00000X 1021719 MA

Addresses

Primary practice location

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

61 Brown St
Haverhill, MA 01830-6750
Phone (888) 852-6672

Other practice location 2

1065 NE 125th St
Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050

Other practice location 3

474 Grove St
Worcester, MA 01605-1214
Phone (888) 852-6672

Other practice location 4

6107 Pinewood Rd
Nunnelly, TN 37137-2523
Phone (888) 852-6672

Other practice location 5

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other names 1

  • Chaim Leib Betzalel Nissel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, NC, MA, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190827003810 FL Practitioner - Family Practice 1658609722 Reassigns benefits to 1 organization
I20211120000058 TN Practitioner - Family Practice 1658609722 Reassigns benefits to 1 organization
I20250603002187 NC Practitioner - Family Practice 1658609722 Reassigns benefits to 1 organization
I20250930004140 MA Practitioner - Family Practice 1658609722 Reassigns benefits to 1 organization
I20260218003072 IL Practitioner - Family Practice 1658609722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

1065 NE 125TH St
Suite 206
North Miami, FL 33161-5832
Phone (888) 852-6672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4504TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems of Massachusetts, Inc. Family Medicine CurrentSince Jul 20, 2025 Accepting new patients
Compass Health Systems, P.a. CurrentSince Jul 1, 2021 Accepting new patients
Compass Health Systems, P.a. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Compass Health Systems of North Carolina Family Medicine CurrentSince Apr 18, 2025 Accepting new patients
Compass Health Systems of California Inc CurrentSince May 28, 2026 Accepting new patients
Compass Health Systems of Illinois, Inc CurrentSince Feb 4, 2026 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients
Dayton-Dandes Center for Integrative Medicine LLC PastSince Jul 1, 2019 Accepting new patients

Locations

67580 Jones Rd
Cathedral City, CA 92234
Phone (760) 642-1112

10301 Hagen Ranch Rd
Ste B200
Boynton Beach, FL 33437
Phone (561) 752-9490

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1237 E 1600 North Rd
Gilman, IL 60938
Phone (815) 707-2136

2525 Cabot Dr
Ste 300
Lisle, IL 60532
Phone (888) 245-0974

61 Brown St
Haverhill, MA 01830
Phone (978) 372-2728

474 Grove St
Worcester, MA 01605
Phone (866) 461-4474

11403 N Tryon St
Charlotte, NC 28262
Phone (704) 387-6410

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1982199634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Brown St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306750",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 NE 125th St",
            "address_2": "Ste 206",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "474 Grove St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016051214",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6107 Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "fax_number": "786-235-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 Hagen Ranch Rd Ste B200",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISSEL",
        "first_name": "CHAIM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4504",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15435",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1021719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAIM",
            "last_name": "NISSEL",
            "middle_name": "LEIB BETZALEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.