Individual provider Active NPI

Clement Choua, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • South Miami, FL
National Provider Identifier
1124317342
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME148084 Issued in FL
Practice address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone
(786) 662-0638
Fax
(786) 533-9236
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 266620 NY
Hospitalist Physician 208M00000X 266620 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME148084 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
South Miami, FL 33143-4679

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 594-6880

Other practice location 1

5200 NE 2nd Ave
Miami, FL 33137-2706
Phone (305) 762-3883

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cle04100@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20150326001010 NY Practitioner - Internal Medicine 0446573364 Reassigns benefits to 2 organizations
I20210524000806 FL Practitioner - Hospice/Palliative Care 0446573364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

6200 SW 73Rd St
South Miami Hospital
South Maimi, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

  • Accentcare Hospice & Palliative Care of Southern Florida Hospice, Miami, FL, CCN 101543
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266620NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Aug 23, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 25, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Hospice and Palliative Medicine CurrentSince Jan 25, 2017 Accepting new patients
North Shore-Lij Medical PC Hospitalist CurrentSince Aug 23, 2014 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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 5

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1124317342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "786-594-6880",
            "fax_number": "786-533-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-0638",
            "fax_number": "786-533-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331372706",
            "country_code": "US",
            "telephone_number": "305-762-3883",
            "fax_number": "304-762-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUA",
        "first_name": "CLEMENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "266620",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "266620",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME148084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cle04100@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "6200 SW 73rd St",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331434679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.