Individual provider Active NPI

Atsou Klougan

  • Internal Medicine Physician
  • Miramar, FL
National Provider Identifier
1659909893
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161313 Issued in FL
Practice address
3601 SW 160TH Ave
Miramar, FL 33027-6308
Phone
(678) 287-6103
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of FL LLC 73 clinicians
Vohra Post Acute Care Physicians of the East PA 56 clinicians

Practice addresses (Care Compare)

100 Bull St
Suite 200
Savannah, GA 31401-3378
Phone (954) 399-4673

11 Todd Dr
Beaufort, SC 29902-6113
Phone (843) 524-8911

59 Blackstock Rd
Inman, SC 29349-1827
Phone (864) 472-2028

815 E 63Rd St
Savannah, GA 31405-4420
Phone (912) 352-8615

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1490
Removal of skin lesions42

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20240409000766 GA Practitioner - Internal Medicine 6608298278 Reassigns benefits to 2 organizations
I20250820001401 SC Practitioner - Internal Medicine 6608298278 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161313FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA CurrentSince Jun 23, 2025 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

3601 SW 160th Ave
Miramar, FL 33027
Phone (305) 866-7123

100 Bull St
Ste 200
Savannah, GA 31401
Phone (770) 478-3013

1007 N Kings St
Columbia, SC 29223
Phone (803) 699-4111

59 Blackstock Rd
Inman, SC 29349
Phone (864) 472-2028

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161313 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

3601 SW 160TH Ave
Miramar, FL 33027-6308

Mailing address

3601 SW 160TH Ave
Miramar, FL 33027-6308
Phone (678) 287-6103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2024.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1659909893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "678-287-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "678-287-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOUGAN",
        "first_name": "ATSOU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "161313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.