DAVID R. CHABOLLA M.D. – NPI #1245229319
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

DAVID CHABOLLA is a psychiatry & neurologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1245229319 to DAVID CHABOLLA on October 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 7 years ago on Jul 29, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID CHABOLLA below.

NPI Profile for
DAVID R. CHABOLLA

NPI Number
1245229319
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID R. CHABOLLA
Credentials
M.D.
Primary location
4205 BELFORT RD STE 1100
JACKSONVILLE, FL 32216-5876
Phone: (904) 450-6300 Fax: (904) 281-5966
Mailing address
3 SHIRCLIFF WAY
SUITE 724
JACKSONVILLE, FL 32204-4786
Phone: (904) 308-7959 Fax: (904) 308-7938
Sole Proprietor
No
Updated
Identifiers

Identifiers for DAVID CHABOLLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUECROSS/BLUESHIELDFL27473
OTHERRAILROAD MEDICAREFL130012335
MEDICAIDFL268609100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
FL ME68656

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE - Graduated 1990
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DAVID CHABOLLA is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION ST VINCENT'S CLAY COUNTY
      1670 ST VINCENTS WAY
      MIDDLEBURG, FL 32068
    • ASCENSION ST VINCENT'S RIVERSIDE
      1 SHIRCLIFF WAY
      JACKSONVILLE, FL 32204
    • ASCENSION ST VINCENT'S SOUTHSIDE
      4201 BELFORT RD
      JACKSONVILLE, FL 32216

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