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DR. CY CHAVEZ
NPI 1417319567
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 27, 2016PECOS EnrolledAccepts Medicare Assignment
4590 CHILDRENS PL FL PLACE6, SAINT LOUIS, MO 63110(314) 454-4127(314) 454-4298 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2022, Jun 22, 2020, Mar 27, 2016 (3 updates tracked since 2016).

About Dr. Cy Chavez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CY CHAVEZ (NPI 1417319567) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1417319567
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CY CHAVEZ
Location Address4590 CHILDRENS PL FL PLACE6Saint Louis, MO 63110-1020
Mailing Address908 San Saba DrSouthlake, TX 76092-6222 · (817) 946-7208
Phone(314) 454-4127
Fax(314) 454-4298
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateMarch 27, 2016
Last NPPES UpdateMay 19, 20223 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1417319567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4590 CHILDRENS PL FL PLACE6, Saint Louis, MO 63110
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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cy Chavez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315234291
PECOS Enrollment IDI20220627001309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cy Chavez's NPI number?

The NPI number for Cy Chavez is 1417319567. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Cy Chavez located?

Cy Chavez practices at 4590 Childrens Pl Fl Place6, Saint Louis, MO 63110. The listed phone number is (314) 454-4127.

What is Cy Chavez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cy Chavez enrolled in Medicare?

Yes. Cy Chavez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cy Chavez was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.