NPIMap

Individual provider Active NPI

Salma Hitawala, MD

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1659379352
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76577 Issued in FL
Practice address
3105 Citrus Tower Blvd
Suite a
Clermont, FL 34711-6892
Phone
(352) 404-7874
Fax
(352) 988-6460
NPI assigned
Jul 7, 2005
Last updated
Dec 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME76577 FL Primary

Addresses

Primary practice location

3105 Citrus Tower Blvd
Suite a
Clermont, FL 34711-6892

Mailing address

PO Box 1609
Windermere, FL 34786-1609
Phone (407) 625-3635

Other identifiers 1

IdentifierTypeStateIssuer
256056900MedicaidFL

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
I20100409000075 FL Practitioner - Internal Medicine 1658407184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians

Practice addresses (Care Compare)

255 Citrus Tower Blvd
Suite 205
Clermont, FL 34711-1906
Phone (352) 404-7874

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76577FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Salma Hitawala MD PA Internal Medicine CurrentSince Dec 1, 2013 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Aug 20, 2017 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3105 Citrus Tower Blvd
Ste A
Clermont, FL 34711
Phone (352) 241-8016

255 Citrus Tower Blvd
Ste 205
Clermont, FL 34711
Phone (352) 404-7874

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

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 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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1659379352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1609",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347861609",
            "telephone_number": "407-625-3635",
            "fax_number": "407-345-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CITRUS TOWER BLVD",
            "address_2": "SUITE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116892",
            "telephone_number": "352-404-7874",
            "fax_number": "352-988-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITAWALA",
        "first_name": "SALMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256056900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.