Chulou Hitosis Penales, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME163843 Issued in FL

Practice address

13001 Southern Blvd
Loxahatchee, FL 33470-9203

Phone

(877) 832-2652

Fax

(800) 792-9021

NPI assigned

Sep 7, 2012

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in 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

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpenales766220@direct.shands.ufl.edu

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.

• Inpatient Care Specialists LLC

  • Hospitalist Physician
  • Lake Mary, FL
  • NPI 1679817134
  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment NPD
• Central Florida Inpatient Medicine LLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1649228859
  Medicare reassignment NPD
• HHA Associates LLC

  dba HHA Hospital Medicine

  • Hospitalist Physician
  • Miami, FL
  • NPI 1265073159
  Medicare reassignment NPD
• Ocala Hospital Care Providers, PLLC

  • Hospitalist Physician
  • Ocala, FL
  • NPI 1497444939
  Medicare reassignment NPD
• Waddah Allaf MD PA

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1255376661
  Medicare reassignment NPD
• Shamsad Begum MD PA

  • Primary Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1770716623
  NPD
• Primary Care Providers Inc

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1083989438
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Leesburg Regional Medical Center Inc

  dba Uf Health Emergency/Urgent Care Eustis Mt. Dora

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1962751784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5476 QUEENSHIP CT",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635969",
            "telephone_number": "719-406-2133",
            "fax_number": "561-450-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SOUTHERN BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709203",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-723-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENALES",
        "first_name": "CHULOU",
        "middle_name": "HITOSIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2023-09-27",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP 9295519",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9295519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Olimpia Pellon
• Xavier E Pena
• Velinda Perez
• Carlos M. Pernas Jr., P.A.
• Iliana R Pernas, PHARM D.
• Jordan Perona, DC
• Shawn Michael Perrigo, MSN-ARNP-PMHNP

• Internal Medicine Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.