DR. MYTHILI PENUGONDA (MD) – Family Medicine Physician, NPI 1447784269
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. MYTHILI PENUGONDA (MD)
6100 Hollywood Blvd Ste 300
Hollywood, FL 330247982
Phone: (844) 665-4831
Type: Location
1350 Connecticut Ave NW Ste 1250
Washington, DC 200361728
Phone: (202) 627-1901
Fax: (415) 252-7176
Type: Location
86 SW 8th St Ste 3
Miami, FL 331303784
Phone: (888) 663-6331
Type: Location
300, Via el Chico, Hollywood Riviera, Redondo Beach, Los Angeles County, California, 90277, United States
HOLLYWOOD, FL 330247982
Phone:
Type: Mailing
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone:
Type: Mailing
309 SW 145TH TER
PEMBROKE PINES, FL 330271443
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,046.
Total Amount is formed as General ($1,046) + Research ($0) + Ownership ($0) = $1,046.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($432).
Total Amount
$1,046
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,046
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $432 |
| ViiV Healthcare Company | $210 |
| Abbott Laboratories | $156 |
| Astellas Pharma US Inc | $125 |
| Amgen Inc. | $109 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210216003349 | I | Family Practice | FL | TBD |
| I20240209000719 | I | Family Practice | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Physician Assistant | NY | |
| Family Practice | FL | |
| Family Practice | WI | |
| Internal Medicine | FL | |
| Family Practice | CT | |
| Nurse Practitioner | FL |
Reviews
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