Individual provider Active NPI

Summerpal Singh Kahlon, MD

  • Internal Medicine Physician
  • Cocoa Beach, FL
National Provider Identifier
1003010679
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME101801 Issued in FL
Practice address
30 Woodland Ave, Ste a
Cocoa Beach, FL 32931-2886
Phone
(321) 613-2004
Fax
(321) 613-2031
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME101801 FL Primary
Infectious Disease Physician 207RI0200X ME101801 FL

Addresses

Primary practice location

30 Woodland Ave, Ste a
Cocoa Beach, FL 32931-2886

Mailing address

30 Woodland Ave, Ste a
Cocoa Beach, FL 32931-2886
Phone (321) 613-2004

Other names 1

  • Summer Singh Kahlon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000648 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 6901971845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocket Health Care LLCGroup PAC ID 5294191565, 2 clinicians

Practice addresses (Care Compare)

30 Woodland Ave
Suite a
Cocoa Beach, FL 32931-2886
Phone (321) 613-2004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocket Health Care LLC Internal Medicine CurrentSince Apr 3, 2023 Accepting new patients
Peace Club Inc. Past Accepting new patients

Locations

30 Woodland Ave
Ste A
Cocoa Beach, FL 32931
Phone (321) 613-2004

1404 Highland Ave
Melbourne, FL 32935

260 N Tropical Trl
Ste 104
Merritt Island, FL 32953
Phone (321) 613-2004

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL HMO C-SNP
  • FL PPO

Interoperability endpoints

  • Direct secure messaging: summerpal.kahlon.1@22128.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1003010679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WOODLAND AVE, STE A",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312886",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WOODLAND AVE, STE A",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312886",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "SUMMERPAL",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101801",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME101801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "KAHLON",
            "middle_name": "SINGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.