Individual provider Active NPI

Karina Dolly Escudero Chu, MD

  • General Practice Physician
  • Plant City, FL
National Provider Identifier
1053826156
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1469 Issued in FL
Practice address
228 W Alexander St
Plant City, FL 33563-7157
Phone
(813) 535-4816
Fax
(877) 285-9902
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1469 FL Primary
General Practice Physician 208D00000X 19811 PR

Addresses

Primary practice location

228 W Alexander St
Plant City, FL 33563-7157

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address karina.escudero.chu.1@29601.direct.athenahealth.com
Direct Messaging Address karina.escudero.chu.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601001655 PR Practitioner - General Practice 8729409693 Reassigns benefits to 1 organization
Practice locations: Caguas, PR
I20221007001086 FL Practitioner - General Practice 8729409693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

228 W Alexander St
Plant City, FL 33563-7157
Phone (813) 754-5480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1469FLMDGeneral Practice Physician
19811PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince May 1, 2020 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince May 1, 2020 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Oct 3, 2022 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

228 W Alexander St
Plant City, FL 33563
Phone (813) 754-5480

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: karina.escudero.chu.2@29601.direct.athenahealth.com
  • Direct secure messaging: karina.escudero.chu.1@29601.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1053826156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637157",
            "telephone_number": "813-535-4816",
            "fax_number": "877-285-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUDERO CHU",
        "first_name": "KARINA",
        "middle_name": "DOLLY",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1469",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karina.escudero.chu.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "karina.escudero.chu.1@29601.direct.athenahealth.com",
            "address_1": "228 W Alexander St",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335637157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karina.escudero.chu.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "karina.escudero.chu.2@29601.direct.athenahealth.com",
            "address_1": "228 W Alexander St",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335637157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.