Individual provider Active NPI

Carlos Reyes Chouza

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1174092035
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11000605 Issued in FL
Practice address
6367 Trails of Foxford CT
West Palm Beach, FL 33415-5133
Phone
(561) 814-1466
NPI assigned
Nov 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11000605 FL Primary

Addresses

Primary practice location

6367 Trails of Foxford CT
West Palm Beach, FL 33415-5133

Mailing address

2188 S Jog Rd
Greenacres, FL 33415-6101
Phone (561) 429-3777

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007003576 FL Practitioner - Nurse Practitioner 0840521738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2188 S Jog Rd
Greenacres, FL 33415-6101
Phone (561) 541-9326

Hospital & facility affiliations

  • Elder'S Choice, Inc. Home health agency, West Palm Beach, FL, CCN 109177
  • Concepts in Eldercare Home health agency, Lake Clarke Shores, FL, CCN 109539
  • Quality Life Care Home Health Inc Home health agency, West Palm Beach, FL, CCN 687169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11000605FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palomino Health Center Inc CurrentSince Sep 19, 2024 Accepting new patients
Tri County Wound Care LLC CurrentSince Jun 5, 2024 Accepting new patients
Israel Machin MD PA CurrentSince Jul 15, 2019 Accepting new patients
Rech Clinic LLC CurrentSince May 1, 2021 Accepting new patients

Locations

2188 S Jog Rd
Greenacres, FL 33415
Phone (561) 429-3777

1511 Forest Hill Blvd
Ste C
West Palm Beach, FL 33406
Phone (561) 433-3556

2628 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 541-0326

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHJCD/Endpoint/CEHJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIDBD

Organizations & group practices 4

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 4

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1174092035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156101",
            "telephone_number": "561-429-3777",
            "fax_number": "561-429-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 TRAILS OF FOXFORD CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155133",
            "telephone_number": "561-814-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES CHOUZA",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11000605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.