NPIMap

Individual provider Active NPI

Peng Jeffrey Hou, MD

  • Nephrology Physician
  • Winter Haven, FL
National Provider Identifier
1215090907
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 95379 Issued in FL
Practice address
500 E Central Ave
Winter Haven, FL 33880-3053
Phone
(863) 293-1191
Fax
(863) 297-5901
NPI assigned
Dec 18, 2006
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME 95379 FL Primary
Internal Medicine Physician 207R00000X ME95379 FL

Addresses

Primary practice location

500 E Central Ave
Winter Haven, FL 33880-3053

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191

Other identifiers 1

IdentifierTypeStateIssuer
281410200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000342 FL Practitioner - NephrologyPractitioner - Internal Medicine 2163596958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Bond Clinic, Inc.Group PAC ID 2264931294, 87 clinicians

Practice addresses (Care Compare)

500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95379FLMDInternal Medicine Physician
ME 95379FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Bond Clinic, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Adventhealth Bond Clinic, Inc. Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Bond Clinic PA Internal Medicine CurrentSince Jun 30, 2008 Accepting new patients
Bond Clinic PA Internal Medicine CurrentSince Jun 30, 2008 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

325 1st St N
Winter Haven, FL 33881

500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286

Interoperability endpoints

  • Direct secure messaging: jeffrey.hou.p1@direct.bondclinicpa.nextgenshare.com
  • Direct secure messaging: phou58873@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1215090907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803053",
            "telephone_number": "863-293-1191",
            "fax_number": "863-297-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803053",
            "telephone_number": "863-293-1191",
            "fax_number": "863-297-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOU",
        "first_name": "PENG",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 95379",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281410200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.