Individual provider Active NPI

Richard Otis Chlouber, MD

  • Obstetrics & Gynecology Physician
  • Spring Hill, FL
National Provider Identifier
1104080670
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME106780 Issued in FL
Practice address
4003 Mariner Blvd
Spring Hill, FL 34609-2466
Phone
(352) 263-2600
Fax
(352) 684-2218
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME106780 FL Primary

Addresses

Primary practice location

4003 Mariner Blvd
Spring Hill, FL 34609-2466

Mailing address

4003 Mariner Blvd
Spring Hill, FL 34609-2466
Phone (352) 263-2600

Other practice location 1

4003 Mariner Blvd
Spring Hill, FL 34609-2466
Phone (352) 263-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RICHARD.CHLOUBER@hca4.eclinicaldirectplus.com

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
I20100824001251 FL Practitioner - Obstetrics/Gynecology 8325162514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians

Practice addresses (Care Compare)

11371 Cortez Blvd
Brooksville, FL 34613-5409

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632

11377 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 597-3060

4003 Mariner Blvd
Spring Hill, FL 34609-2466
Phone (352) 263-2600

7515 State Rd
52 Suite 102
Hudson, FL 34667-6757
Phone (727) 863-0008

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC CurrentSince Mar 6, 2018 Accepting new patients

Locations

11371 Cortez Blvd
Ste 223
Brooksville, FL 34613
Phone (352) 596-8911

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

4003 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 263-2600

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104080670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092466",
            "telephone_number": "352-263-2600",
            "fax_number": "352-684-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092466",
            "telephone_number": "352-263-2600",
            "fax_number": "352-684-2218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346092466",
            "country_code": "US",
            "telephone_number": "352-263-2600",
            "fax_number": "352-684-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHLOUBER",
        "first_name": "RICHARD",
        "middle_name": "OTIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME106780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RICHARD.CHLOUBER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4003 Mariner Blvd",
            "city": "Spring Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346092466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.